Desert Family Practice Associates

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

1486 Issued in CA

Legal business name

DESERT FAMILY PRACTICE ASSOCIATES

Doing business as

Family Practice Associates

Practice address

11919 Hesperia Rd
Hesperia, CA 92345-1855

Phone

(760) 948-1454

Fax

(760) 948-6100

NPI assigned

May 17, 2006

Last updated

Mar 5, 2015By the provider in NPPES

Organization subpart

Yes

Parent organization

DESERT FAMILY PRACTICE ASSOCIATESAs reported in NPPES

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

Authorized official

Name

Dr. Michael J Vizcarra, M.D.

Title

President/Owner

Phone

(760) 948-1454

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Family Practice Associates Doing business as

Part of

Desert Family Practice Assocoiates Medical Group Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Desert Family Practice Assoc

  • Health Maintenance Organization
  • San Diego, CA
  • NPI 1669544730
  NPPES parent name

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1255383188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11919 HESPERIA RD",
            "address_2": "SUITE A",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923451855",
            "telephone_number": "760-948-1454",
            "fax_number": "760-948-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11919 HESPERIA RD",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923451855",
            "telephone_number": "760-948-1454",
            "fax_number": "760-948-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT FAMILY PRACTICE ASSOCIATES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESERT FAMILY PRACTICE ASSOCIATES",
        "enumeration_date": "2006-05-17",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "VIZCARRA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "760-948-1454",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "1486",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0050900",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Practice Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aaron Michael Demoville-Rahimi, DDS
• Mayisa Dennis
• Dental Corporation of Louis Stromberg DDS (High Desert Smiles Dentistry and Orthodontics)
• Dental Group of Hesperia
• Liana Yegyan Deroian, LMFT
• Desert Family Practice Assocoiates Medical Group Inc (Family Practice Associates)
• Desert Preciouscargo Inc. (Platinum Care Non Emergency Transportation)
• Desert Valley Medical Group, Inc.
• Desert Valley Medical Group, Inc.
• Desert-Hi

• Family Medicine Physician in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.