Individual provider Active NPI

Lynette Lipp McBride, PA-C

  • Physician Assistant
  • Palm Springs, CA
National Provider Identifier
1598730970
Registry record updated Dec 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA23184 Issued in CA
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

Updated by the provider on Dec 18, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100002710AMedicaidGA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210812003739 SC Practitioner - Physician Assistant 3476647769 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
003377GAMDPhysical Therapy Assistant
PA23184CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
American Current Care P.a. CurrentSince Apr 21, 2025 Accepting new patients
Velocity Urgent Care, LLC CurrentSince Oct 1, 2018 Accepting new patients
American Current Care PA CurrentSince Apr 21, 2025 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.

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

Verify at the official NPI Registry.