Active NPI
Abigail Rose Dezern
- Physician Assistant
- Rancho Mirage, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 63267
- Practice address
- 39000 Bob Hope Dr
Rancho Mirage, CA 92270-3202 - Phone
- (760) 568-2684
- NPI assigned
- Apr 27, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 63267 | CA | Primary |
Addresses
Primary practice location
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3202
Mailing address
PO Box 1730
Rancho Mirage, CA 92270-1058
Phone (760) 766-1246
Other practice location 1
25455 Barton Rd Ste 102B
Loma Linda, CA 92354-3139
Phone (909) 558-2808
Other practice location 2
309 E 2nd St
Pomona, CA 91766-1854
Phone (909) 623-6116
Other practice location 3
21820 Cactus Ave
Riverside, CA 92518-3010
Phone (951) 653-5291
Other names 1
- Abby R Lockman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20231117000120 | CA | Practitioner - Physician Assistant | 9931556685 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Desert Orthopedic Center a Medical Group Inc
Practice addresses (Care Compare)
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 568-2684
45280 Seeley Dr FL
2 Eisenhower George and Julia Argyros Health
La Quinta, CA 92253-6834
Phone (760) 568-2684
Hospital & facility affiliations
- Eisenhower Medical Center
- Loma Linda University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.87 of 100
- Quality
- 72.13
- Promoting interoperability
- 80
- Improvement activities
- 40
- Cost
- 77.36
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63267 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Faculty Physicians and Surgeons of Llusm | Current | Accepting new patients | |
| Desert Orthopedic Center a Medical Group Inc | Current | Accepting new patients | |
| American Current Care of California, a Medical Corporation | Past | Accepting new patients | |
| Occupational Health Centers of California, a Medical Corporation | Past | Accepting new patients |
Locations
45280 Seeley Dr
Fl 2
La Quinta, CA 92253
Phone (760) 834-7920
25455 Barton Rd
Loma Linda, CA 92354
Phone (909) 558-2808
11406 Loma Linda Dr
Ste 300
Loma Linda, CA 92354
Phone (909) 558-6277
25455 Barton Rd
Ste 102B
Loma Linda, CA 92354
Phone (909) 558-2808
11370 Anderson St
#B100
Loma Linda, CA 92354
Phone (909) 558-2848
File Number 54701
Los Angeles, CA 90074
Phone (909) 651-4300
39700 Bob Hope Dr
Ste 310
Rancho Mirage, CA 92270
39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911
Interoperability endpoints
- alockman1023388@direct.llu.edu
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Rancho Mirage, CA
- NPI 1508967753
CA
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Apple Valley, CA
- NPI 1205009917
CA
-
- Medical Toxicology (Emergency Medicine) Physician
- San Bernardino, CA
- NPI 1487124798
-
- Family Medicine Physician
- Moreno Valley, CA
- NPI 1558788331
-
- Urgent Care Clinic/Center
- Riverside, CA
- NPI 1346839990
-
- Occupational Medicine Clinic/Center
- Riverside, CA
- NPI 1275122822
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loma Linda, CA
- NPI 1194731935
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682553600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1788912000000",
"number": "1528756459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1730",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922701058",
"telephone_number": "760-766-1246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39000 BOB HOPE DR",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703202",
"telephone_number": "760-568-2684"
}
],
"practiceLocations": [
{
"address_1": "25455 Barton Rd Ste 102B",
"address_purpose": "LOCATION",
"city": "Loma Linda",
"state": "CA",
"postal_code": "923543139",
"country_code": "US",
"telephone_number": "909-558-2808",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "309 E 2nd St",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "CA",
"postal_code": "917661854",
"country_code": "US",
"telephone_number": "909-623-6116",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21820 Cactus Ave",
"address_purpose": "LOCATION",
"city": "Riverside",
"state": "CA",
"postal_code": "925183010",
"country_code": "US",
"telephone_number": "951-653-5291",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEZERN",
"first_name": "ABIGAIL",
"middle_name": "ROSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-27",
"last_updated": "2026-09-09",
"certification_date": "2026-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "63267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ABBY",
"last_name": "LOCKMAN",
"middle_name": "R",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.