Individual provider Active NPI

Udaya Desilva, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Palmdale, CA
National Provider Identifier
1730100330
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A48836 Issued in CA
Practice address
623 W Avenue Q
Suite a
Palmdale, CA 93551-3890
Phone
(661) 726-6255
Fax
(661) 726-6261
NPI assigned
Jul 21, 2006
Last updated
May 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A48836 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 practice location 1

105 E Sydnor Ave Ste 100
Ridgecrest, CA 93555-5546
Phone (760) 463-8930

Other identifiers 1

IdentifierTypeStateIssuer
00A488360MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address udayadesilva@rrh.medalliesdirect.net Direct

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061201000216 CA Practitioner - Pain ManagementPractitioner - Anesthesiology 3375561947 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ridgecrest Regional HospitalGroup PAC ID 9739099896, shared by 9 NPIs, 94 clinicians

Practice addresses (Care Compare)

105 E Sydnor Ave
Suite 100
Ridgecrest, CA 93555-5546
Phone (760) 446-6404

1111 N China Lake Blvd
Ridgecrest, CA 93555-3131
Phone (760) 499-3855

623 W Ave Q
Suite a
Palmdale, CA 93551-3890
Phone (661) 794-4062

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A48836CAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Current Accepting new patients
Ridgecrest Regional Hospital CurrentSince Mar 1, 2020 Accepting new patients
Ridgecrest Regional Hospital Current Accepting new patients
Desilva Medical, Inc. CurrentSince Nov 8, 2010 Accepting new patients
First Choice Physician Partners CurrentSince Oct 25, 2024 Accepting new patients
U.S. Desilva MD, a Medical CurrentSince May 8, 2005 Accepting new patients
First Choice Physician Partners CurrentSince Oct 25, 2024 Accepting new patients
Ridgecrest Regional Hospital Pain Medicine Past Accepting new patients

Locations

1753 W Avenue J
Ste A
Lancaster, CA 93534
Phone (661) 206-0555

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

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

105 E Sydnor Ave
Ste 100
Ridgecrest, CA 93555
Phone (760) 446-6404

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

1111 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-4571

1111 N China Lake Blvd
#220
Ridgecrest, CA 93555
Phone (760) 446-8100

1533 N Downs St
Ridgecrest, CA 93555
Phone (760) 446-2900

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GFHCBA
  • Direct secure messaging: udayadesilva@rrh.medalliesdirect.net
  • Direct secure messaging: udesilva@1537.securemail.prognocis.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1730100330",
    "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": "661-726-6261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 E Sydnor Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ridgecrest",
            "state": "CA",
            "postal_code": "935555546",
            "country_code": "US",
            "telephone_number": "760-463-8930",
            "fax_number": "760-463-8931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESILVA",
        "first_name": "UDAYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A48836",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A488360",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "udayadesilva@rrh.medalliesdirect.net",
            "affiliation": "N",
            "endpointDescription": "RRH Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "105 E Sydnor Ave Ste 100",
            "city": "Ridgecrest",
            "state": "CA",
            "country_code": "US",
            "postal_code": "935555546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.