Active NPI
Kendall Renee Sitarski, PA
- Physician Assistant
- Rancho Mirage, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 39000 Bob Hope Dr, Harry & Diane Rinker BLG
Rancho Mirage, CA 92270-3202 - Phone
- (760) 568-2684
- Fax
- (760) 341-5832
- NPI assigned
- Jul 21, 2021
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | |||
| Surgical Physician Assistant | 363AS0400X | |||
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
39000 Bob Hope Dr, Harry & Diane Rinker BLG
Rancho Mirage, CA 92270-3202
Mailing address
PO Box 1730
Rancho Mirage, CA 92270-1058
Phone (760) 766-1249
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
39000 Bob Hope Dr
Rancho Mirage, CA 92270-3221
Phone (760) 568-2684
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.54 of 100
- Quality
- 77.5
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 65.14
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Bernardino Medical Orthopaedic Group, Inc. | Current | Accepting new patients | |
| Desert Orthopedic Center a Medical Group Inc | Medical | Current | Accepting new patients |
| San Bernardino Medical Orthopaedic Group, Inc. | Current | Accepting new patients |
Locations
400 N Pepper Ave
#205
Colton, CA 92324
Phone (909) 331-9598
1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810
39000 Bob Hope Dr
Rancho Mirage, CA 92270
Phone (760) 340-3911
39700 Bob Hope Dr
Ste 310
Rancho Mirage, CA 92270
1901 W Lugonia Ave
Ste 310
Redlands, CA 92374
Phone (909) 793-2964
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- ksitarski134278@edirect.emc.org
Organizations & group practices 3
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
Medical
-
- Orthopaedic Surgery Physician
- Redlands, CA
- NPI 1336187475
-
- Orthopaedic Surgery Physician
- Beaumont, CA
- NPI 1235964537
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rancho Mirage, CA
- NPI 1013981554
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1548833049",
"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": "760-766-1249",
"fax_number": "760-837-2202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39000 BOB HOPE DR, HARRY & DIANE RINKER BLG",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922703202",
"telephone_number": "760-568-2684",
"fax_number": "760-341-5832"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SITARSKI",
"first_name": "KENDALL",
"middle_name": "RENEE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-21",
"last_updated": "2024-08-23",
"certification_date": "2024-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 23, 2024; 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.