NPIMap

Organization Active NPI

Hi-Desert Family Medical Clinic

  • Rural Health Clinic/Center
  • Yucca Valley, CA
National Provider Identifier
1427595412
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
HI-DESERT FAMILY MEDICAL CLINIC
Doing business as
Hi Desert Family Medical Clinic
Practice address
7350 Church St
Yucca Valley, CA 92284-3246
Phone
(760) 369-3069
NPI assigned
Jan 27, 2017
Last updated
Dec 23, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
FAMILY HEALTH CENTER OF JOSHUA TREEAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Authorized official

Name
Dr. Andre Kasko, D.O.
Title
Owner
Phone
(760) 366-7555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X CA Primary

Addresses

Primary practice location

7350 Church St
Yucca Valley, CA 92284-3246

Mailing address

7350 Church St
Yucca Valley, CA 92284-3246
Phone (760) 369-3069

Other names 1

  • Hi Desert Family Medical Clinic Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Family Health Center of Joshua Tree Inc3 organizations share this tax ID, including this one
Part of
Family Health Center of Joshua Tree Inc

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734912000000",
    "number": "1427595412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 CHURCH ST",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843246",
            "telephone_number": "760-369-3069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 CHURCH ST",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843246",
            "telephone_number": "760-369-3069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HI-DESERT FAMILY MEDICAL CLINIC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FAMILY HEALTH CENTER OF JOSHUA TREE",
        "enumeration_date": "2017-01-27",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A",
        "authorized_official_last_name": "KASKO",
        "authorized_official_first_name": "ANDRE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-366-7555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hi Desert Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 23, 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.

Verify at the official NPI Registry.