Desert Mountain Medical Group, Inc.

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

20A6319 Issued in CA

Legal business name

DESERT MOUNTAIN MEDICAL GROUP, INC.

Practice address

18523 Corwin Rd Ste E
Apple Valley, CA 92307-2300

Phone

(760) 242-1222

NPI assigned

Dec 22, 2014

Last updated

Jul 25, 2019By 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

Michael Norman, DONPI 1912978123

Title

President/Practitioner

Phone

(760) 242-1222

Specialties & licenses 1

Addresses

Locations

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.

• Michael Norman, DO

  • Internal Medicine Physician
  • Apple Valley, CA
  • NPI 1912978123
  Authorized official Same address or phone

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

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564012800000",
    "number": "1083002257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18523 CORWIN RD STE E",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072300",
            "telephone_number": "760-242-1222",
            "fax_number": "760-242-2241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18523 CORWIN RD STE E",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072300",
            "telephone_number": "760-242-1222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT MOUNTAIN MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-22",
        "last_updated": "2019-07-25",
        "status": "A",
        "authorized_official_last_name": "NORMAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT/PRACTITIONER",
        "authorized_official_telephone_number": "760-242-1222",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "20A6319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Behavioral Health a Family Counseling Corp (Desert Behavioral Health)
• Desert Family Practice Associates (Family Practice Associates)
• Desert Heart Associates, Inc.
• Desert Knolls Hearing Aid Center, Inc
• Desert Knolls Hearing Center, Inc
• Desert Physical Therapy & Sports Medicine
• Desert Physicians Management, LLC
• Desert Physicians United, Inc.
• Desert Valley Congregate Living Health Facility
• Desert Valley Medical Group, Inc.

• Primary Care Clinic/Center in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.