Valencia Family Care Medical Group

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

VALENCIA FAMILY CARE MEDICAL GROUP

Doing business as

High Desert Pediatric Urgent Care

Practice address

12677 Hesperia Rd Ste 150
Victorville, CA 92395-7735

Phone

(760) 952-3892

Fax

(855) 490-7027

NPI assigned

Sep 29, 2017

Last updated

Sep 29, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Pablo Valencia Sr.

Title

Office Administrator

Phone

(760) 952-3892

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• HIGH DESERT PEDIATRIC URGENT CARE Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1506643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506643200000",
    "number": "1053820340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12677 HESPERIA RD STE 150",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957735",
            "telephone_number": "760-952-3892",
            "fax_number": "855-490-7027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12677 HESPERIA RD STE 150",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957735",
            "telephone_number": "760-952-3892",
            "fax_number": "855-490-7027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENCIA FAMILY CARE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-29",
        "last_updated": "2017-09-29",
        "status": "A",
        "authorized_official_last_name": "VALENCIA",
        "authorized_official_first_name": "PABLO",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "760-952-3892",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A537870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIGH DESERT PEDIATRIC URGENT CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mario Urista
• Mateo M. Useche Cortes, MD, MPH
• Lucero Vaca
• Vakkalanka Medical Corp (Health-R-US Urgent-Care/Walk-in Clinic)
• Valde Home Health, Inc
• Tatiana C Valencia-Gonzalez, B.A.
• Keri Valencia
• Maggie Szeto Valencia, FNP
• Rainilda Pinga Valencia, M.D.
• Ramon Valencia

• Urgent Care Clinic/Center in Victorville, CA
• Providers in Victorville, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.