Desert Family Practice Associates

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

00000843 Issued in CA

Legal business name

DESERT FAMILY PRACTICE ASSOCIATES

Doing business as

Family Practice Associates

Practice address

15863 Kasota Rd
Apple Valley, CA 92307-4507

Phone

(760) 256-3864

Fax

(760) 256-7378

NPI assigned

Mar 16, 2007

Last updated

Mar 6, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

DESERT FAMILY PRACTICE ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Michael Jordan Vizcarra, M.D.

Title

Owner

Phone

(760) 948-1454

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Practice Associates Doing business as

Part of

Desert Family Practice Assocoiates Medical Group Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Desert Family Practice Assoc

  • Health Maintenance Organization
  • San Diego, CA
  • NPI 1669544730
  NPPES parent name

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425600000000",
    "number": "1073647269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11919 HESPERIA RD",
            "address_2": "SUITE A",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923451855",
            "telephone_number": "760-948-1454",
            "fax_number": "760-948-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15863 KASOTA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923074507",
            "telephone_number": "760-256-3864",
            "fax_number": "760-256-7378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT FAMILY PRACTICE ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESERT FAMILY PRACTICE ASSOCIATES",
        "enumeration_date": "2007-03-16",
        "last_updated": "2015-03-06",
        "status": "A",
        "authorized_official_last_name": "VIZCARRA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JORDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-948-1454",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "00000843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0050902",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Practice Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa R Delatorre
• Sandra Y Delgado-Campos, M.D.
• Javier Delgado Jr.
• Loma Denkers, COTA
• Desert Behavioral Health a Family Counseling Corp (Desert Behavioral Health)
• Desert Heart Associates, Inc.
• Desert Knolls Hearing Aid Center, Inc
• Desert Knolls Hearing Center, Inc
• Desert Mountain Medical Group, Inc.
• Desert Physical Therapy & Sports Medicine

• Family Medicine Physician in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2015; 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.