Active NPI
Lynette Lipp McBride, PA-C
- Physician Assistant
- Palm Springs, CA
National Provider Identifier
1598730970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA23184
- Practice address
- 275 N El Cielo Rd
Palm Springs, CA 92262-6972 - Phone
- (760) 320-8814
- Fax
- (760) 969-7245
- NPI assigned
- Feb 21, 2006
- 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 | PA23184 | CA | Primary |
Addresses
Primary practice location
275 N El Cielo Rd
Palm Springs, CA 92262-6972
Mailing address
275 N El Cielo Rd
Palm Springs, CA 92262-6972
Phone (760) 320-8814
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100002710A | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003377 | GA | MD | Physical Therapy Assistant |
| PA23184 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Current Care P.a. | Current | Accepting new patients | |
| Velocity Urgent Care, LLC | Current | Accepting new patients | |
| American Current Care PA | Current | Accepting new patients | |
| Patient First Richmond Medical Group PLLC | Past | Accepting new patients | |
| Darling Emergency Physicians LLC | Past | Accepting new patients | |
| Advanced Pediatric Specialists LLC | Past | Accepting new patients |
Locations
4115 Dorchester Rd
Ste 100
North Charleston, SC 29405
Phone (843) 554-6737
4374 New Town Ave
Williamsburg, VA 23188
Phone (757) 772-6124
Organizations & group practices 7
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.
-
- Urgent Care Clinic/Center
- Goose Creek, SC
- NPI 1093248288
-
- Urgent Care Clinic/Center
- Beaumont, TX
- NPI 1376356568
-
- Urgent Care Clinic/Center
- Williamsburg, VA
- NPI 1205350584
-
- Pediatrics Physician
- Savannah, GA
- NPI 1073046397
-
- Emergency Medicine Physician
- Waycross, GA
- NPI 1306058573
-
- Family Medicine Physician
- Glen Allen, VA
- NPI 1689603748
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418860800000",
"number": "1598730970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 N EL CIELO RD",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922626972",
"telephone_number": "760-320-8814",
"fax_number": "760-969-7245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "275 N EL CIELO RD",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922626972",
"telephone_number": "760-320-8814",
"fax_number": "760-969-7245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCBRIDE",
"first_name": "LYNETTE",
"middle_name": "LIPP",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2014-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA23184",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100002710A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.