Active NPI
Robert H Lesnik, M.D.
- Dermatology Physician
- Palm Desert, CA
National Provider Identifier
1639112147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G064878
- Practice address
- 74090 El Paseo
Suite 103
Palm Desert, CA 92260-4135 - Phone
- (760) 341-8244
- Fax
- (760) 776-1474
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G064878 | CA | Primary |
| MOHS-Micrographic Surgery Physician | 207ND0101X | G064878 | CA | |
| Dermatopathology Physician | 207ND0900X | G064878 | CA | |
| Procedural Dermatology Physician | 207NS0135X | G064878 | CA |
Addresses
Primary practice location
74090 El Paseo
Suite 103
Palm Desert, CA 92260-4135
Mailing address
74090 El Paseo
Suite 103
Palm Desert, CA 92260-4135
Phone (760) 341-8244
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G064878 | Other | CA | STATE MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G064878 | CA | MD | Procedural Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390176000000",
"number": "1639112147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "74090 EL PASEO",
"address_2": "SUITE 103",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922604135",
"telephone_number": "760-341-8244",
"fax_number": "760-776-1474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74090 EL PASEO",
"address_2": "SUITE 103",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "922604135",
"telephone_number": "760-341-8244",
"fax_number": "760-776-1474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LESNIK",
"first_name": "ROBERT",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2014-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "G064878",
"primary": true
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "CA",
"license": "G064878",
"primary": false
},
{
"code": "207ND0900X",
"taxonomy_group": "",
"desc": "Dermatology, Dermatopathology",
"state": "CA",
"license": "G064878",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "CA",
"license": "G064878",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "G064878",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.