High Desert Womens Memorial Medical Center Apc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A50695 Issued in CA

Legal business name

HIGH DESERT WOMENS MEMORIAL MEDICAL CENTER APC

Doing business as

Barstow Womens Medical Center

Practice address

705 E Virginia Way Ste C
Barstow, CA 92311-3955

Phone

(760) 242-3539

Fax

(760) 242-7474

NPI assigned

Dec 8, 2006

Organization subpart

Yes

Parent organization

HIGH DESERT WOMENS MEMORIAL MEDICAL CENTER APCAs reported in NPPES

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

Authorized official

Name

Merriam Deleon

Title

Credentialing

Phone

(760) 242-3539

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Barstow Womens Medical Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• High Desert Womens Memorial Medical Center Apc

  dba Huntington Park Clinica Santa Maria

  • Specialist
  • Huntington Park, CA
  • NPI 1023203882

  O20050620000381

  Same enrollment
• High Desert Womens Memorial Medical Center Apc

  dba Clinica Santa Maria Echo Park

  • Specialist
  • Los Angeles, CA
  • NPI 1033304894

  O20050620000381

  Same enrollment
• High Desert Womens Memorial Medical Center Apc

  dba Birth & Womens Medical Center

  • Specialist
  • Apple Valley, CA
  • NPI 1790970077

  O20050620000381

  Same enrollment

Part of

High Desert Womens

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.

• Lu-Wei King, M.D.

  • Obstetrics Physician
  • Barstow, CA
  • NPI 1184647950
  Medicare reassignment

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688428800000",
    "number": "1184784555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18158 US HIGHWAY 18",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072202",
            "telephone_number": "760-242-3539",
            "fax_number": "760-242-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 E VIRGINIA WAY STE C",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113955",
            "telephone_number": "760-242-3539",
            "fax_number": "760-242-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT WOMENS MEMORIAL MEDICAL CENTER APC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIGH DESERT WOMENS MEMORIAL MEDICAL CENTER APC",
        "enumeration_date": "2006-12-08",
        "last_updated": "2023-07-04",
        "certification_date": "2023-07-04",
        "status": "A",
        "authorized_official_last_name": "DELEON",
        "authorized_official_first_name": "MERRIAM",
        "authorized_official_title_or_position": "CREDENTIALING",
        "authorized_official_telephone_number": "760-242-3539"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A50695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184784555",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Barstow Womens Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ronney R Hester
• High Desert Anesthesiology,Inc
• High Desert Child, Adolescent and Family Services Center, Inc.
• High Desert Community Home Health Inc
• High Desert Nephrology Medical Associates, Inc.
• High Impact Therapy, Licensed Clinical Social Worker, P.C.
• Highdesert Medical Transportation LLC
• Leslie Mieshelle Hill
• Eric Hogan
• Michael Holland, PT

• Specialist in Barstow, CA
• Providers in Barstow, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.