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Valley Star Behavioral Health, Inc.

Organization Active NPI Community/Behavioral Health Agency · Victorville, CA

NPI 1275947426 · NPPES record last updated Jan 26, 2017

Key facts

NPI
1275947426
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Legal business name
VALLEY STAR BEHAVIORAL HEALTH, INC.
Practice address
12240 Hesperia Rd
Victorville, CA 92395-8309
Phone
(760) 245-8837
Fax
(760) 245-8854
NPI assigned
Jun 16, 2014
Organization subpart
No

Authorized official

Name
Kent Dunlap
Title
President and Chief Executive Offic
Phone
(310) 221-6336

Other NPIs on the same Medicare enrollment 13

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

Corporate family (same tax ID) 20

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2110210Valley Star Crisis Walk-in Center High Desert
12240 Hesperia Road Suite a, Victorville, CA 92395		Certificate of waiverMar 9, 2028

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20210630000796 CA Part B Supplier - Clinic/Group Practice 8628479441 Receives reassigned benefits from 2 practitioners
13 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Downey, CA; Yucca Valley, CA; Victorville, CA; San Bernardino, CA; Los Angeles, CA; Joshua Tree, CA; Sylmar, CA

National Provider Directory

Tax ID family
Valley Star Behavioral Health Inc (21 organizations share this tax ID)

Locations

12240 Hesperia Rd
Victorville, CA 92395
Phone (760) 245-8837

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CA Yes

Addresses

Primary practice location

12240 Hesperia Rd
Victorville, CA 92395-8309

Mailing address

1501 Hughes Way
Suite 150
Long Beach, CA 90810-1878
Phone (310) 221-6336

Other names

  • Valley Star Crisis Walk-In Center Other name

Other providers in Victorville, CA

All providers in Victorville, CA · Community/Behavioral Health Agency in California

Sources for this page

Verify at the official NPI Registry.