NPIMap

Individual provider Active NPI

Pamela Dewar De Silva, MD

  • Internal Medicine Physician
  • Palmdale, CA
National Provider Identifier
1568414548
Registry record updated Apr 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A48894 Issued in CA
Practice address
623 W Avenue Q
Suite a
Palmdale, CA 93551-3890
Phone
(661) 726-6255
Fax
(855) 451-0552
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 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
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080103000494 CA Practitioner - Internal Medicine 3375623309 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Desilva Medical, Inc.Group PAC ID 6103903570, 2 clinicians

Practice addresses (Care Compare)

623 W Ave Q
Suite a
Palmdale, CA 93551-3890
Phone (661) 726-6255

Hospital & facility affiliations

  • Guiding Hope Home Health Home health agency, Santa Clarita, CA, CCN 559570
  • Blue Sky Home Health Care, Inc Home health agency, Van Nuys, CA, CCN 059126
  • Antelope Valley Hospital Hospital, Lancaster, CA, CCN 050056
  • Ridgecrest Regional Hospital Hospital, Ridgecrest, CA, CCN 051333
  • Palmdale Regional Medical Center Hospital, Palmdale, CA, CCN 050204

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A48894CAMDInternal Medicine Physician
48894CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles Center for Medical Weight Loss Current Accepting new patients
U.S. Desilva MD, a Medical Current Accepting new patients
Antelope Valley Health Care District Past Accepting new patients
Lancaster Hospital Corporation Past Accepting new patients

Locations

623 W Avenue Q
Ste A
Palmdale, CA 93551
Phone (661) 726-6255

Interoperability endpoints

  • Direct secure messaging: pamela.desilva@dminc.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1568414548",
    "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": "855-451-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SILVA",
        "first_name": "PAMELA",
        "middle_name": "DEWAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_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

Verify at the official NPI Registry.