Active NPI
High Desert Osteopathic Medical Care a Medical Corporation
- Family Medicine Physician
- Apple Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A6876
- Legal business name
- HIGH DESERT OSTEOPATHIC MEDICAL CARE A MEDICAL CORPORATION
- Practice address
- 16017 Tuscola Rd
Suite E
Apple Valley, CA 92307-1317 - Phone
- (760) 946-1776
- Fax
- (760) 946-1668
- NPI assigned
- Jan 18, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Cynthia Lynn Thomas, D.O.
- Title
- Ceo Physician
- Phone
- (760) 946-1776
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A6876 | CA | Primary |
Addresses
Primary practice location
16017 Tuscola Rd
Suite E
Apple Valley, CA 92307-1317
Mailing address
16017 Tuscola Rd
Suite E
Apple Valley, CA 92307-1317
Phone (760) 946-1776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0999608 | High Desert Osteopathic Medical Care | Certificate of waiver | May 15, 2028 |
National Provider Directory
National Provider DirectoryLocations
16017 Tuscola Rd
Ste E
Apple Valley, CA 92307
Phone (760) 946-1776
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Apple Valley, CA
- NPI 1083767636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1023161635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16017 TUSCOLA RD",
"address_2": "SUITE E",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923071317",
"telephone_number": "760-946-1776",
"fax_number": "760-946-1668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16017 TUSCOLA RD",
"address_2": "SUITE E",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923071317",
"telephone_number": "760-946-1776",
"fax_number": "760-946-1668"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HIGH DESERT OSTEOPATHIC MEDICAL CARE A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "CYNTHIA",
"authorized_official_middle_name": "LYNN",
"authorized_official_title_or_position": "CEO PHYSICIAN",
"authorized_official_telephone_number": "760-946-1776",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "20A6876",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apple Valley, CA
- High Desert Juvenile Detention and Assessment Center
- High Desert Limb Salvage Institute Podiatrist Corp
- High Desert Lung Center
- High Desert Medical Transport
- High Desert Neuro-Diagnostic Medical Group, Inc.
- High Desert Pain Management Institute LLC
- High Desert Primary Care
- High Desert Primary Care Medical Group (High Desert Primary Care - Apple Valley)
- High Desert Pulmonary Associates, Inc
- High Desert Sleep Disorder Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.