Active NPI
Elson Sampson Garrett III
- Doula
- Victorville, CA
National Provider Identifier
1508761602
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- Practice address
- 12640 Hesperia Rd
Victorville, CA 92395-7753 - Phone
- (760) 684-8999
- NPI assigned
- Oct 9, 2026
- Last updated
- Oct 9, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Doula | 374J00000X | CA | Primary |
Addresses
Primary practice location
12640 Hesperia Rd
Victorville, CA 92395-7753
Mailing address
14064 Paddock Rd
Victorville, CA 92394-7425
Phone (951) 243-4796
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791504000000",
"number": "1508761602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14064 PADDOCK RD",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923947425",
"telephone_number": "951-243-4796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12640 HESPERIA RD",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923957753",
"telephone_number": "760-684-8999"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRETT",
"first_name": "ELSON",
"middle_name": "SAMPSON",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-10-09",
"last_updated": "2026-10-09",
"certification_date": "2026-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.