NPIMap

Organization Active NPI

Desert Pediatrics Inc

  • Pediatrics Physician
  • Yucca Valley, CA
National Provider Identifier
1447541826
Registry record updated Apr 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
20A8445 Issued in CA
Legal business name
DESERT PEDIATRICS INC
Practice address
57445 29 Palms Hwy
Suite 302
Yucca Valley, CA 92284-2947
Phone
(760) 369-9220
Fax
(760) 369-9232
NPI assigned
Apr 20, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2011

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

Authorized official

Name
Rebecca Pargeon, RN
Title
Biller
Phone
(866) 880-6798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 20A8445 CA Primary

Addresses

Primary practice location

57445 29 Palms Hwy
Suite 302
Yucca Valley, CA 92284-2947

Mailing address

57445 29 Palms Hwy
Suite 302
Yucca Valley, CA 92284-2947
Phone (760) 369-9220

National Provider Directory

National Provider Directory
Tax ID family
Desert Pediatrics Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303257600000",
    "number": "1447541826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57445 29 PALMS HWY",
            "address_2": "SUITE 302",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842947",
            "telephone_number": "760-369-9220",
            "fax_number": "760-369-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57445 29 PALMS HWY",
            "address_2": "SUITE 302",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922842947",
            "telephone_number": "760-369-9220",
            "fax_number": "760-369-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT PEDIATRICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-20",
        "last_updated": "2011-04-20",
        "status": "A",
        "authorized_official_last_name": "PARGEON",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "BILLER",
        "authorized_official_telephone_number": "866-880-6798",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "20A8445",
            "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 Apr 20, 2011; 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.