Active NPI
Desiree Castaneda Angulo
- Student in an Organized Health Care Education/Training Program
- Victorville, CA
National Provider Identifier
1649986803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 15345 Bonanza Rd
Victorville, CA 92392-2499 - Phone
- (909) 387-7380
- NPI assigned
- Jan 30, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | Primary | |
| Rehabilitation Practitioner | 225400000X |
Addresses
Primary practice location
15345 Bonanza Rd
Victorville, CA 92392-2499
Mailing address
15175 Lake St
Adelanto, CA 92301-4818
Phone (760) 265-0435
Other practice location 1
1556 S Sultana Ave
Ontario, CA 91761-4238
Phone (909) 418-6923
Other practice location 2
755 E Gilbert
San Bernardino, CA 92415-2499
Phone (909) 387-7380
Other practice location 3
1950 S Sunwest Lane Suite 200
San Bernardino, CA 92418-2499
Phone (909) 252-4044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of San Bernardino | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Victorville, CA
- NPI 1568947323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783987200000",
"number": "1649986803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15175 LAKE ST",
"city": "ADELANTO",
"state": "CA",
"postal_code": "923014818",
"telephone_number": "760-265-0435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15345 BONANZA RD",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923922499",
"telephone_number": "909-387-7380"
}
],
"practiceLocations": [
{
"address_1": "1556 S Sultana Ave",
"address_purpose": "LOCATION",
"city": "Ontario",
"state": "CA",
"postal_code": "917614238",
"country_code": "US",
"telephone_number": "909-418-6923",
"fax_number": "909-418-6937",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "755 E Gilbert",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "924152499",
"country_code": "US",
"telephone_number": "909-387-7380",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1950 S Sunwest Lane Suite 200",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "924182499",
"country_code": "US",
"telephone_number": "909-252-4044",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANGULO",
"first_name": "DESIREE",
"middle_name": "CASTANEDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-30",
"last_updated": "2026-07-14",
"certification_date": "2026-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": true
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"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 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.