Individual provider Active NPI

Lindsay Daly

  • Physician Assistant
  • San Diego, CA
National Provider Identifier
1780356972
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
59911 Issued in CA
Practice address
16918 Dove Canyon Rd Ste 102
San Diego, CA 92127-3455
Phone
(858) 292-5101
Fax
(858) 408-2992
NPI assigned
Oct 5, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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 59911 CA Primary

Addresses

Primary practice location

16918 Dove Canyon Rd Ste 102
San Diego, CA 92127-3455

Mailing address

16918 Dove Canyon Rd Ste 102
San Diego, CA 92127-3455
Phone (858) 292-5101

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260423002258 CA Practitioner - Physician Assistant 2769839711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11921 Carmel Creek Rd
Apt 207
San Diego, CA 92130-2563

11921 Carmel Creek Rd Apt
Suite 207
San Diego, CA 92130-2599

3900 5TH Ave
Suite 300
San Diego, CA 92103-3138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
59911CAMDDentist

Interoperability endpoints

  • Direct secure messaging: lindsaypa@centerforderm.emadirect.md

Organizations & group practices 1

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": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1780356972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16918 DOVE CANYON RD STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273455",
            "telephone_number": "858-292-5101",
            "fax_number": "858-408-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16918 DOVE CANYON RD STE 102",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921273455",
            "telephone_number": "858-292-5101",
            "fax_number": "858-408-2992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALY",
        "first_name": "LINDSAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "59911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.