NPIMap

Organization Active NPI

Bear Valley Clinica Medica Familiar a Medical Corporation

  • General Practice Physician
  • Victorville, CA
National Provider Identifier
1093355109
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
BEAR VALLEY CLINICA MEDICA FAMILIAR A MEDICAL CORPORATION
Practice address
15532 Bear Valley Rd
Victorville, CA 92395-9260
Phone
(760) 245-5959
NPI assigned
Jan 7, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Authorized official

Name
Octavio Ruiz Villalpando, MDNPI 1194832816
Title
Medical Provider/Owner
Phone
(760) 245-5959

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

15532 Bear Valley Rd
Victorville, CA 92395-9260

Mailing address

15532 Bear Valley Rd
Victorville, CA 92395-9260
Phone (760) 245-5959

National Provider Directory

National Provider Directory

Locations

15532 Bear Valley Rd
Victorville, CA 92395
Phone (760) 245-5516

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1093355109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15532 BEAR VALLEY RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923959260",
            "telephone_number": "760-245-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15532 BEAR VALLEY RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923959260",
            "telephone_number": "760-245-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR VALLEY CLINICA MEDICA FAMILIAR A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "RUIZ VILLALPANDO",
        "authorized_official_first_name": "OCTAVIO",
        "authorized_official_title_or_position": "MEDICAL PROVIDER/OWNER",
        "authorized_official_telephone_number": "760-245-5959",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; 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.