NPIMap

Organization Active NPI

Yucca Family Medical Care, Inc.

  • Family Medicine Physician
  • Yucca Valley, CA
National Provider Identifier
1386820702
Registry record updated Jan 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 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
Last updated
Jan 16, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2008

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

Authorized official

Name
Dr. Pablo Sobero, M.D.NPI 1659314318
Title
President
Phone
(760) 365-8500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

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

National Provider Directory

National Provider Directory

Member of 1

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DCGCDA

Practitioners & affiliated clinicians

Practitioners 9

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": "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

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.