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TRAVIS DESA MD
NPI 1902298219
Internal Medicine - Interventional Cardiology in Lakewood, CA

Active since February 23, 2015PECOS EnrolledAccepts Medicare Assignment
3650 SOUTH ST STE 310, LAKEWOOD, CA 90712(562) 531-1980 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 3, 2025, Apr 8, 2023 (2 updates tracked since 2023).

About Travis Desa Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRAVIS DESA MD (NPI 1902298219) is an individual interventional cardiology provider in Lakewood, California, licensed in California (A183097) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1902298219
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameTRAVIS DESACredential: MD
Location Address3650 SOUTH ST STE 310Lakewood, CA 90712-1519
Mailing Address3650 South St Ste 310Lakewood, CA 90712-1519 · (562) 531-1980
Phone(562) 531-1980
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 23, 2015
Last NPPES UpdateAugust 21, 20252 updates tracked since enumeration
NPPES CertifiedAugust 21, 2025
✔ NPI 1902298219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
Licenses✔ Licensed in CA · A183097✔ Licensed in TX · T4907
Definition

An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.

3650 SOUTH ST STE 310, Lakewood, CA 90712
Open in Google Maps ↗

Secondary Practice Locations 2

Location 11932 Landon LnDallas, TX 75204-4814 · Phone (714) 313-7860
Location 29003 E Shea BlvdScottsdale, AZ 85260-6709 · Phone (714) 313-7860

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Travis Desa Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466724158
PECOS Enrollment IDI20250701003107
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90712 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEYMAN NAJI M.D.
Internal Medicine (Interventional Cardiology)
3650 SOUTH ST STE 310
LAKEWOOD, CA 90712
Los Angeles County (562) 531-1980
DR. WILLIAM L MADRID M.D.
Internal Medicine (Cardiovascular Disease)
3650 SOUTH ST STE 310
LAKEWOOD, CA 90712
Los Angeles County (562) 531-1980
SOUTH COAST HEART & VASCULAR A MEDICAL GROUP INC
Internal Medicine (Cardiovascular Disease)
3650 SOUTH ST STE 310
LAKEWOOD, CA 90712
Los Angeles County (562) 531-1980

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Travis Desa's NPI number?

The NPI number for Travis Desa is 1902298219. It was assigned to this individual provider in the NPPES registry on February 23, 2015.

Where is Travis Desa located?

Travis Desa practices at 3650 South St Ste 310, Lakewood, CA 90712. The listed phone number is (562) 531-1980.

What is Travis Desa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Travis Desa enrolled in Medicare?

Yes. Travis Desa is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Travis Desa was last updated on August 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.