Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kirt Lee Edly, PA

Individual provider Surgical Physician Assistant · NPI 1053575746

Kirt Lee Edly, PA is a Physician Assistant in Rancho Mirage, California. Qualified in 2006, 20 years ago. Practices with Desert Orthopedic Center a Medical Group Inc, a 49-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
20
Licensed in
CA
In the registry since
2008
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

39000 Bob Hope Dr Harry & Diane Rinker Bldg
Rancho Mirage, CA 92270-3221
Phone: (760) 568-2684
Fax: (760) 341-5832
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA21381 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA21381 (CA)

Record details

NPI number1053575746
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedJuly 11, 2008
Last updated in NPPESApril 5, 2023
Certification dateMarch 30, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Desert Orthopedic Center A Medical Group Inc — 49 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Rancho Mirage