Active NPI
Valerie Marshall, MBA GERONTOLOGY
- Specialist
- Hesperia, CA
National Provider Identifier
1396594917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 6048336740
- Practice address
- 14628 Main St
Hesperia, CA 92345-3323 - Phone
- (442) 800-5750
- NPI assigned
- May 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 6048336740 | CA | Primary |
Addresses
Primary practice location
14628 Main St
Hesperia, CA 92345-3323
Mailing address
14628 Main St
Hesperia, CA 92345-3323
Phone (442) 800-5750
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Business Administration
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6048336740 | CA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unique Adult Day Healthcare Inc. | Current | Accepting new patients | |
| Unique Adult Day Healthcare Inc. | Current | Accepting new patients |
Locations
14628 Main St
Hesperia, CA 92345
Phone (760) 244-0576
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Hesperia, CA
- NPI 1275404295
-
- Adult Day Care Clinic/Center
- Hesperia, CA
- NPI 1780210476
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1715731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715731200000",
"number": "1396594917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14628 MAIN ST",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923453323",
"telephone_number": "442-800-5750"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14628 MAIN ST",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923453323",
"telephone_number": "442-800-5750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARSHALL",
"first_name": "VALERIE",
"name_prefix": "Miss",
"credential": "MBA GERONTOLOGY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-05-15",
"last_updated": "2024-05-15",
"certification_date": "2024-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "6048336740",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hesperia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.