Evercare Medical Group, Inc

Primary specialty

Adult Medicine PhysicianTaxonomy code 207QA0505X

Legal business name

EVERCARE MEDICAL GROUP, INC

Practice address

16281 Main St Ste B
Hesperia, CA 92345-3569

Phone

(442) 800-5300

NPI assigned

Oct 8, 2018

Organization subpart

No

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

Authorized official

Name

Alva Marsh, M.D.

Title

Medical Director/Owner

Phone

(442) 800-5300

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704326400000",
    "number": "1063987899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16281 MAIN ST STE B",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453569",
            "telephone_number": "442-800-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16281 MAIN ST STE B",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453569",
            "telephone_number": "442-800-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERCARE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-08",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A",
        "authorized_official_last_name": "MARSH",
        "authorized_official_first_name": "ALVA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR/OWNER",
        "authorized_official_telephone_number": "442-800-5300",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Adult Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GENERAL PRACTICE",
            "identifier": "C22547",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Adult Medicine Physician in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Adult Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.