NPIMap

Organization Active NPI

Tobias Moeller-Bertram MD Corporation

Doing business as Lifekind Health

  • Durable Medical Equipment & Medical Supplies
  • Victorville, CA
National Provider Identifier
1376430678
Registry record updated Aug 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TOBIAS MOELLER-BERTRAM MD CORPORATION
Doing business as
Lifekind Health
Practice address
12830 Hesperia Road
Units a-D
Victorville, CA 92395-7788
Phone
(760) 684-8999
Fax
(760) 684-8111
NPI assigned
Jun 19, 2025
Last updated
Aug 22, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
TOBIAS MOELLER-BERTRAM MD CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Aug 22, 2025

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

Authorized official

Name
Tobias Moeller-Bertram, MDNPI 1134169741
Title
Ceo
Phone
(800) 285-3755

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
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

12830 Hesperia Road
Units a-D
Victorville, CA 92395-7788

Mailing address

44630 Monterey Ave Ste 100
Palm Desert, CA 92260-3326
Phone (800) 285-3755

Other names 1

  • Lifekind Health Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251031001741 CA DME Supplier - Multi-Specialty - Physician 1456586064 Practice locations: Victorville, CA

Other NPIs with the same Medicare PAC ID 8

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Tobias Moeller Bertram MD14 organizations share this tax ID, including this one
Part of
Tobias Moeller Bertram MD

Other organizations with this tax ID 13

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

View all 13

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

12830 Hesperia Rd
Victorville, CA 92395
Phone (760) 684-8999

Practitioners & affiliated clinicians

Practitioners 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755820800000",
    "number": "1376430678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44630 MONTEREY AVE STE 100",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922603326",
            "telephone_number": "800-285-3755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12830 HESPERIA ROAD",
            "address_2": "UNITS A-D",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957788",
            "telephone_number": "760-684-8999",
            "fax_number": "760-684-8111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOBIAS MOELLER-BERTRAM MD CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TOBIAS MOELLER-BERTRAM MD CORPORATION",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-08-22",
        "certification_date": "2025-08-22",
        "status": "A",
        "authorized_official_last_name": "MOELLER-BERTRAM",
        "authorized_official_first_name": "TOBIAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "800-285-3755",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lifekind Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2025; 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.