Yucca Family Medical Care, Inc.
Organization Active NPI Family Medicine Physician · Yucca Valley, CA
NPI 1386820702 · NPPES record last updated Jan 16, 2008
Key facts
- NPI
- 1386820702
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- YUCCA FAMILY MEDICAL CARE, INC.
- Practice address
- 7180 Mohawk TRL
Yucca Valley, CA 92284-2633 - Phone
- (760) 365-8500
- Fax
- (760) 365-8599
- NPI assigned
- Jan 16, 2008
- Organization subpart
- No
Authorized official
- Name
- Dr. Pablo Sobero, M.D.
- Title
- President
- Phone
- (760) 365-8500
Member of 1
Practitioners 9
-
Pablo Sobero, M.D.
-
John Batin, P.A.-C
-
Mariah Batin, LMFT
-
Alyssa Kathleen Burton, M.P.A., PA-C
-
Gregory Joel McGuinn, PA-C
-
Eva Judith Reyes, NP
-
Brenda Renae Robinson, P.A.-C
-
Christine H. Tellis, FNP-C
-
Katherine Naomi Wiggins, DNP, FNP
National Provider Directory
Locations
57675 29 Palms Hwy
Ste 111
Yucca Valley, CA 92284
Phone (760) 365-8500
7180 Mohawk Trl
Yucca Valley, CA 92284
Phone (760) 365-8500
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DCGCDA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
7180 Mohawk TRL
Yucca Valley, CA 92284-2633
Mailing address
7180 Mohawk TRL
Yucca Valley, CA 92284-2633
Phone (760) 365-8500
NPI Registry JSON
{
"created_epoch": "1200441600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1200441600000",
"number": "1386820702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7180 MOHAWK TRL",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922842633",
"telephone_number": "760-365-8500",
"fax_number": "760-365-8599"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7180 MOHAWK TRL",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922842633",
"telephone_number": "760-365-8500",
"fax_number": "760-365-8599"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YUCCA FAMILY MEDICAL CARE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-16",
"last_updated": "2008-01-16",
"status": "A",
"authorized_official_last_name": "SOBERO",
"authorized_official_first_name": "PABLO",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-365-8500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Yucca Valley, CA
- Mary Yantes
- Yoonho Chang DDS Inc.
- Lynna R. Young
- Marilyn Yu
- Yucca Desert Counseling Licensed Clinical Social Worker P.C.
- Yucca Family Medical Care, Inc.
- Yucca Valley Family Medical Associates, Inc.
- Yucca Valley Fire District
- Yucca Valley Medical Clinic
- Yucca Valley Urgent Care, Inc.
All providers in Yucca Valley, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 16, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.