Active NPI
Desert Family Practice Associates Medical GRP Inc
Doing business as Family Practice Associates
- Family Medicine Physician
- Barstow, CA
National Provider Identifier
1508981549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G29952
- Legal business name
- DESERT FAMILY PRACTICE ASSOCIATES MEDICAL GRP INC
- Doing business as
- Family Practice Associates
- Practice address
- 1301 E Main St
Barstow, CA 92311-3219 - Phone
- (760) 256-3864
- Fax
- (760) 256-7378
- NPI assigned
- Mar 20, 2007
- Last updated
- Aug 6, 2008
- Organization subpart
- Yes
- Parent organization
- DESERT FAMILY PRACTICE ASSOCIATES MEDICAL GROUP INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael C Vizcarra, M.D.
- Title
- President Medical Director
- Phone
- (760) 948-1454
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G29952 | CA | Primary |
Addresses
Primary practice location
1301 E Main St
Barstow, CA 92311-3219
Mailing address
11919 Hesperia Rd
Suite a
Hesperia, CA 92345-1855
Phone (760) 948-1454
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0050901 | Medicaid | CA |
Other names 1
- Family Practice Associates
National Provider Directory
National Provider Directory- Part of
- Desert Family Practice Assocoiates Medical Group Inc
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217980800000",
"number": "1508981549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11919 HESPERIA RD",
"address_2": "SUITE A",
"city": "HESPERIA",
"state": "CA",
"postal_code": "923451855",
"telephone_number": "760-948-1454",
"fax_number": "760-948-6100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 E MAIN ST",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923113219",
"telephone_number": "760-256-3864",
"fax_number": "760-256-7378"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT FAMILY PRACTICE ASSOCIATES MEDICAL GRP INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DESERT FAMILY PRACTICE ASSOCIATES MEDICAL GROUP INC",
"enumeration_date": "2007-03-20",
"last_updated": "2008-08-06",
"status": "A",
"authorized_official_last_name": "VIZCARRA",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "PRESIDENT MEDICAL DIRECTOR",
"authorized_official_telephone_number": "760-948-1454",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G29952",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0050901",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Family Practice Associates",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Barstow, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.