NPIMap

Organization Active NPI

High Desert Center, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Victorville, CA
National Provider Identifier
1528276797
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
360030AN Issued in CA
Legal business name
HIGH DESERT CENTER, INC
Practice address
16248 Victor Street
Victorville, CA 92395
Phone
(760) 243-7151
Fax
(760) 952-1432
NPI assigned
May 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

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

Authorized official

Name
Ms. Cindi Burklow, BA
Title
Executive Director
Phone
(760) 243-7151

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 360030AN CA Primary

Addresses

Primary practice location

16248 Victor Street
Victorville, CA 92395

Mailing address

P.O. Box 3275
Victorville, CA 92393
Phone (760) 243-7151

National Provider Directory

National Provider Directory
Tax ID family
High Desert Center6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1179532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341792000000",
    "number": "1528276797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 3275",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92393",
            "telephone_number": "760-243-7151",
            "fax_number": "760-952-1432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16248 VICTOR STREET",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92395",
            "telephone_number": "760-243-7151",
            "fax_number": "760-952-1432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-19",
        "last_updated": "2012-07-09",
        "status": "A",
        "authorized_official_last_name": "BURKLOW",
        "authorized_official_first_name": "CINDI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "760-243-7151",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "CA",
            "license": "360030AN",
            "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 Jul 9, 2012; 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.