High Desert Pace Center

Primary specialty

Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X

Legal business name

HIGH DESERT PACE CENTER

Practice address

11833 Amethyst St.
Victorville, CA 92392

Phone

(760) 932-0920

Fax

(760) 299-9464

NPI assigned

Oct 26, 2023

Last updated

Oct 26, 2023By 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

Nicole Garza

Title

Director

Phone

(559) 930-7722

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698278400000",
    "number": "1184496739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "472 W LEXINGTON AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936198362",
            "telephone_number": "559-930-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11833 AMETHYST ST.",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92392",
            "telephone_number": "760-932-0920",
            "fax_number": "760-299-9464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT PACE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-25",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "559-930-7722"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• High Desert Infectious Disease Associates Inc.
• High Desert Institute of Ophthalmology, Inc (HD Ophthalmology)
• High Desert Medical Office
• High Desert Nephrology Medical Associates Inc.
• High Desert Nephrology Medical Associates, Inc.
• High Desert Pathology Medical Group
• High Desert Primary Care (High Desert Primary Care - Victorville)
• High Desert Primary Care
• High Desert Psychological Services
• High Desert Specialty Group

• Geriatric Medicine (Family Medicine) Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Geriatric Medicine (Family Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.