Travis Desa, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

A183097 Issued in CA

Practice address

3650 South St Ste 310
Lakewood, CA 90712-1519

Phone

(562) 531-1980

NPI assigned

Feb 23, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Interventional Cardiology

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prohealth Partners, a Medical Group 236 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Uci Health-Lakewood Hospital, Lakewood, CA, CCN 050581
• Uci Health-Orange Hospital, Orange, CA, CCN 050348

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles (7 of 8)

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: tdesa667049@direct.sw.org
• Direct secure messaging: tdesa110173@direct.phhs.org
• Direct secure messaging: tdesa906327@direct.memorialcare.org

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.

• Prohealth Partners, a Medical Group

  • Internal Medicine Physician
  • Lakewood, CA
  • NPI 1003949975

  CA

  Medicare reassignment Care Compare group NPD
• Honorhealth Ambulatory

  • Hematology & Oncology Physician
  • Scottsdale, AZ
  • NPI 1407050917

  AZ

  Medicare reassignment NPD
• Prohealth Partners a Medical Group

  • Orthopaedic Surgery Physician
  • Long Beach, CA
  • NPI 1265982359
  Care Compare group
• Prohealth Partners a Medical Group

  • Orthopaedic Surgery Physician
  • Los Alamitos, CA
  • NPI 1982154019
  Care Compare group
• Prohealth Partners, a Medical Group

  • Foot & Ankle Surgery Podiatrist
  • Long Beach, CA
  • NPI 1437282316
  Care Compare group
• Prohealth Partners a Medical Group Inc

  • Family Medicine Physician
  • Lakewood, CA
  • NPI 1588030951
  NPD
• Prohealth Partners, a Medical Group, Inc.

  • Internal Medicine Physician
  • Pico Rivera, CA
  • NPI 1912899394
  NPD
• Honorhealth Ambulatory

  • Gastroenterology Physician
  • Scottsdale, AZ
  • NPI 1043492598
  NPD
• Honorhealth Ambulatory

  • Emergency Medicine Physician
  • Mesa, AZ
  • NPI 1891518130
  NPD
• Prohealth Partners a Medical Group Inc

  • Internal Medicine Physician
  • Lakewood, CA
  • NPI 1093848509
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• University of California Irvine

  • General Acute Care Hospital
  • Lakewood, CA
  • NPI 1184655581

  Hospital

  Care Compare affiliation
• University of California Irvine

  • Urgent Care Clinic/Center
  • Irvine, CA
  • NPI 1518739309

  Hospital

  Care Compare affiliation
• University of California Irvine

  • General Acute Care Hospital
  • Orange, CA
  • NPI 1689608150

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1424649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755734400000",
    "number": "1902298219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 SOUTH ST STE 310",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121519",
            "telephone_number": "562-531-1980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 SOUTH ST STE 310",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121519",
            "telephone_number": "562-531-1980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9003 E Shea Blvd",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852606709",
            "country_code": "US",
            "telephone_number": "714-313-7860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1932 Landon Ln",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752044814",
            "country_code": "US",
            "telephone_number": "714-313-7860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESA",
        "first_name": "TRAVIS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-23",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A183097",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "TX",
            "license": "T4907",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susannah Demaree, MS, APCC
• Maria Denardo, MA, LMFT
• Meghan Renee Denike, LCSW
• Kendall Elizabeth Denning, DO
• Department of Children and Family Services
• Destiny Treatment Center LLC
• Diamed, LLC.
• Diane Tran, O.D., Inc.
• Angelina Diaz
• Annette Diaz

• All providers in Lakewood, CA
• Interventional Cardiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.