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Kirt Lee Edly, PA

Medical Physician Assistant in Rancho Mirage, CA · enumerated 2008.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1053575746

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Registry record

Entity type Individual (Type 1)
Name Kirt Lee Edly
Credential PA
Sex Male
Practice address 39000 Bob Hope Dr, Harry & Diane Rinker Building, Rancho Mirage, CA, 92270
Fax (760) 341-5832
Enumeration date Jul 11, 2008
Last updated in NPPES Apr 5, 2023

Taxonomy & licenses

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA21381 (CA) Secondary
363AM0700X Medical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA21381 (CA) Primary
PA · Physician Assistant: A licensed clinician who practices medicine in collaboration with physicians, trained in a graduate PA program. About the PA credential

Other identifiers

Identifier Type State Issuer
PA21381 Other CA CALIFORNIA LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What specialty is Kirt Edly?
Kirt Edly is registered in NPPES with the primary taxonomy of Medical Physician Assistant. The taxonomy code describes the provider's classification and area of specialization for claims and credentialing.
Is this the official NPI registry?
No. NPI Portal is a private site built on public CMS NPPES data. The official registry is npiregistry.cms.hhs.gov, operated by CMS.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-04-05.