Specialty Health Partners, Inc

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

SPECIALTY HEALTH PARTNERS, INC

Practice address

12984 Hesperia Rd Ste 101
Victorville, CA 92395-5819

Phone

(760) 243-4009

Fax

(760) 513-9770

NPI assigned

Oct 13, 2016

Organization subpart

No

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

Authorized official

Name

Charmaine Earle, MDNPI 1598833303

Title

Owner

Phone

(760) 243-4009

Specialties & licenses 2

Addresses

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.

• Charmaine Elizabeth Earle, MD

  • Family Medicine Physician
  • Victorville, CA
  • NPI 1598833303
  Authorized official Same address or phone

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1144770165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12277 APPLE VALLEY RD # 396",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923081701",
            "fax_number": "760-513-9770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12984 HESPERIA RD STE 101",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955819",
            "telephone_number": "760-243-4009",
            "fax_number": "760-513-9770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY HEALTH PARTNERS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "EARLE",
        "authorized_official_first_name": "CHARMAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-243-4009",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.