Active NPI
Vickie Yvonne Mabry-Height, MD,MPH
- Internal Medicine Physician
- Palm Desert, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G49812
- Practice address
- 73241 Highway 111 Ste 3D
Palm Desert, CA 92260 - Phone
- (760) 636-4734
- Fax
- (760) 636-0257
- NPI assigned
- Feb 20, 2008
- Last updated
- Jul 3, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G49812 | CA | Primary |
Addresses
Primary practice location
73241 Highway 111 Ste 3D
Palm Desert, CA 92260
Mailing address
PO Box 542
Rancho Mirage, CA 92270-0542
Phone (760) 636-3393
Other practice location 1
8575 NE 138th Ln Ste 201
The Villages, FL 32159-8996
Phone (352) 391-1056
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 954080495 | Other | CA | IRS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joseph C Hildner MD Inc | Current | Accepting new patients | |
| Indiana University Health Ball Memorial Hospital, Inc. | Past | Accepting new patients |
Locations
5051 SE 110th St
Belleview, FL 34420
Phone (335) 267-4173
1020 Lake Sumter Lndg
The Villages, FL 32162
280 Farner Pl
The Villages, FL 32163
Phone (352) 674-1710
8575 NE 138th Ln
Ste 201
The Villages, FL 32159
Phone (352) 391-1056
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Family Doctors of Belleview
- Family Medicine Physician
- Belleview, FL
- NPI 1396731519
-
- General Acute Care Hospital
- Muncie, IN
- NPI 1225195340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1530576000000",
"number": "1023287364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 542",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922700542",
"telephone_number": "760-636-3393",
"fax_number": "760-636-0257"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "73241 HIGHWAY 111 STE 3D",
"city": "PALM DESERT",
"state": "CA",
"postal_code": "92260",
"telephone_number": "760-636-4734",
"fax_number": "760-636-0257"
}
],
"practiceLocations": [
{
"address_1": "8575 NE 138th Ln Ste 201",
"address_purpose": "LOCATION",
"city": "The Villages",
"state": "FL",
"postal_code": "321598996",
"country_code": "US",
"telephone_number": "352-391-1056",
"fax_number": "352-391-1060",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MABRY-HEIGHT",
"first_name": "VICKIE",
"middle_name": "YVONNE",
"name_prefix": "Dr.",
"credential": "MD,MPH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-20",
"last_updated": "2018-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G49812",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IRS",
"identifier": "954080495",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Palm Desert, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.