Donna Ellamil-Lejarde, PA
Physician Assistant in Cathedral City, CA. Individual provider (NPI-1).
NPI number1558021832
StatusActive
Last updated in NPPESApr 22, 2025
Details
- NPI
- 1558021832
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Donna Ellamil-Lejarde
- Credential
- PA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 28, 2021
- Certification date
- Apr 22, 2025
- Last updated
- Apr 22, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA62077 | CA | Yes |
| 363A00000X | Physician Assistant | – | – | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
69175 Ramon Rd Bldg ACathedral City, CA 92234-3344
Phone 760-321-6767
Mailing address
69175 Ramon Rd Bldg ACathedral City, CA 92234-3344
Phone 760-321-6767
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physician Assistant providers in Cathedral City, CA
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All 9 Physician Assistant providers in Cathedral City · All 526 providers in Cathedral City
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