Individual provider Active NPI

Aida Girma

  • Family Nurse Practitioner
  • Phelan, CA
National Provider Identifier
1174227342
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95032387 Issued in CA
Practice address
3936 Phelan Rd Ste F1
Phelan, CA 92371-4174
Phone
(760) 868-6622
NPI assigned
Mar 29, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95032387 CA Primary

Addresses

Primary practice location

3936 Phelan Rd Ste F1
Phelan, CA 92371-4174

Mailing address

12370 Hesperia Rd Ste 8a
Victorville, CA 92395-4787
Phone (760) 245-4747

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250919001507 CA Practitioner - Nurse Practitioner 3779087937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Loma Linda University School of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vvipa Medical Group IncGroup PAC ID 5092185546, 29 clinicians

Practice addresses (Care Compare)

3936 Phelan Rd
Suite F1
Phelan, CA 92371-4174
Phone (760) 868-6622

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
NP95032387CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
High Desert Medical Group Current Accepting new patients
Vvipa Medical Group Inc CurrentSince Aug 11, 2025 Accepting new patients

Locations

3936 Phelan Rd
Ste F1
Phelan, CA 92371
Phone (760) 868-6622

12408 Hesperia Rd
Ste 2
Victorville, CA 92395
Phone (760) 553-7000

Interoperability endpoints

  • Direct secure messaging: aida.girma.p2@direct.hvvmg.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1680048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1174227342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12370 HESPERIA RD STE 8A",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954787",
            "telephone_number": "760-245-4747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3936 PHELAN RD STE F1",
            "city": "PHELAN",
            "state": "CA",
            "postal_code": "923714174",
            "telephone_number": "760-868-6622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIRMA",
        "first_name": "AIDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-29",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95032387",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phelan, CA

Sources for this page

Verify at the official NPI Registry.