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

Travis Desa, MD

Individual provider Interventional Cardiology Physician · NPI 1902298219

Travis Desa, MD is an Interventional Cardiology in Lakewood, California. Qualified in 2017, 9 years ago. Practices with Prohealth Partners, a Medical Group, a 234-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
9
Licensed in
CA, TX
In the registry since
2015
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3650 S St Ste 310
Lakewood, CA 90712-1519
Phone: (562) 531-1980
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 9003 E Shea Blvd, Scottsdale, AZ 85260-6709 — (714) 313-7860
  • 1932 Landon Ln, Dallas, TX 75204-4814 — (714) 313-7860

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence A183097 (CA)
Interventional Cardiology Physician Taxonomy 207RI0011X · Licence T4907 (TX)

Record details

NPI number1902298219
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 23, 2015
Last updated in NPPESAugust 21, 2025
Certification dateAugust 21, 2025

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL CARDIOLOGY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Prohealth Partners, A Medical Group — 234 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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