Friendly Medical Center

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

FRIENDLY MEDICAL CENTER

Practice address

15462 Main Street
Hesperia, CA 92345-3318

Phone

(760) 949-7000

Fax

(760) 949-3123

NPI assigned

Apr 24, 2006

Last updated

Oct 21, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gurpal S Phaguda, MDNPI 1467586537

Title

MD Owner

Phone

(760) 949-7000

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

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.

• Gurpal S Phaguda, MD

  • Family Medicine Physician
  • Hesperia, CA
  • NPI 1467586537
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634774400000",
    "number": "1467418038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15462 MAIN STREET",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453318",
            "telephone_number": "760-949-7000",
            "fax_number": "760-949-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15462 MAIN STREET",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923453318",
            "telephone_number": "760-949-7000",
            "fax_number": "760-949-3123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-24",
        "last_updated": "2021-10-21",
        "certification_date": "2021-10-21",
        "status": "A",
        "authorized_official_last_name": "PHAGUDA",
        "authorized_official_first_name": "GURPAL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MD OWNER",
        "authorized_official_telephone_number": "760-949-7000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G71819",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "G71819",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0054500",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Debra Jean Fox, LVN
• Shania Franklin
• Mark Leonard Franks
• Fratt Dental Corporation (Hesperia Dental)
• Deborah Irene Freeman, NP
• Rita Rebecca Frisbee
• Marlene J Fritz, PSY.D MFT
• Frontline Medics, LLC
• Sierra Fuentez
• G Castillo Dental Corp

• Urgent Care Clinic/Center in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.