Organization Active NPI

Desilva Medical, Inc.

  • Internal Medicine Physician
  • Palmdale, CA
National Provider Identifier
1528249802
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A48894 Issued in CA
Legal business name
DESILVA MEDICAL, INC.
Practice address
623 W Avenue Q
Suite a
Palmdale, CA 93551-3890
Phone
(661) 726-6255
Fax
(661) 726-6261
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Pamela D. Desilva, M.D.NPI 1568414548
Title
Owner
Phone
(661) 726-6255

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X A48894 CA Primary

Addresses

Primary practice location

623 W Avenue Q
Suite a
Palmdale, CA 93551-3890

Mailing address

PO Box 4037
Lancaster, CA 93539-4037
Phone (661) 726-6255

Other identifiers 1

IdentifierTypeStateIssuer
00A488940MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080409000416 CA Part B Supplier - Clinic/Group Practice 6103903570 Receives reassigned benefits from 5 practitioners
Practice locations: Palmdale, CA; Ridgecrest, CA

National Provider Directory

National Provider Directory

Locations

623 W Avenue Q
Palmdale, CA 93551

301 W Drummond Ave
Ridgecrest, CA 93555
Phone (661) 945-2299

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFHCBA

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1528249802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4037",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935394037",
            "telephone_number": "661-726-6255",
            "fax_number": "661-726-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W AVENUE Q",
            "address_2": "SUITE A",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935513890",
            "telephone_number": "661-726-6255",
            "fax_number": "661-726-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESILVA MEDICAL, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "DESILVA",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "661-726-6255",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A48894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A488940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.