Morongo Basin Arch

Primary specialty

Lodging ProviderTaxonomy code 177F00000X

Legal business name

MORONGO BASIN ARCH

Doing business as

Morongo Basin ARCH

Practice address

6562 Sierra Ave
Joshua Tree, CA 92252

Phone

(760) 992-1743

NPI assigned

May 31, 2023

Last updated

May 31, 2023By 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

Astrid Nicoleen Johnson, MA

Title

President

Phone

(760) 861-6433

Specialties & licenses 1

Addresses

Other names 1

• Morongo Basin ARCH Doing business as

Locations

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

{
    "created_epoch": "1685491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685491200000",
    "number": "1649963125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6336 HALLEE RD",
            "city": "JOSHUA TREE",
            "state": "CA",
            "postal_code": "922521909",
            "telephone_number": "760-861-6433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6562 SIERRA AVE",
            "city": "JOSHUA TREE",
            "state": "CA",
            "postal_code": "92252",
            "telephone_number": "760-992-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORONGO BASIN ARCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-31",
        "last_updated": "2023-05-31",
        "certification_date": "2023-05-22",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ASTRID",
        "authorized_official_middle_name": "NICOLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-861-6433",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "177F00000X",
            "taxonomy_group": "",
            "desc": "Lodging",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morongo Basin ARCH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Heather Marshall
• Berenice Melecio
• Danny A Milner Jr.
• Lisa Monroe
• Morongo Basin Ambulance Assn., Inc. (Morongo Basin Ambulance)
• Morongo Basin Mental Health Services Ass., Inc
• Morongo Basin OB/GYN Medical Group Inc
• Frank Robert Navratil III
• Oasis Emergency Services, PC
• Candice Amber Packard, LMFT

• Lodging Provider in Joshua Tree, CA
• Providers in Joshua Tree, CA by specialty
• Lodging Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2023; 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.