Organization Active NPI

Advanced Primary Care of High Desert, Inc.

  • Specialist
  • Apple Valley, CA
National Provider Identifier
1255877940
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20A11335 Issued in CA
Legal business name
ADVANCED PRIMARY CARE OF HIGH DESERT, INC.
Practice address
16003 Tuscola Rd Ste H
Apple Valley, CA 92307-0825
Phone
(760) 810-0888
Fax
(760) 316-2800
NPI assigned
Jan 18, 2017
Last updated
Jan 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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

Authorized official

Name
Dr. Sunil H Patel, D.O.NPI 1134274012
Title
Ceo
Phone
(760) 810-0888

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 20A11335 CA Primary

Addresses

Primary practice location

16003 Tuscola Rd Ste H
Apple Valley, CA 92307-0825

Mailing address

16003 Tuscola Rd Ste H
Apple Valley, CA 92307-0825
Phone (760) 810-0888

National Provider Directory

National Provider Directory

Locations

16003 Tuscola Rd
Ste H
Apple Valley, CA 92307
Phone (760) 542-4180

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484697600000",
    "number": "1255877940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16003 TUSCOLA RD STE H",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070825",
            "telephone_number": "760-810-0888",
            "fax_number": "760-316-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16003 TUSCOLA RD STE H",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923070825",
            "telephone_number": "760-810-0888",
            "fax_number": "760-316-2800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED PRIMARY CARE OF HIGH DESERT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-18",
        "last_updated": "2017-01-18",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SUNIL",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-810-0888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "20A11335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.