NPIMap

Organization Active NPI

Options Medical Center, Inc

  • Primary Care Clinic/Center
  • Adelanto, CA
National Provider Identifier
1669737508
Registry record updated Jul 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A108988 Issued in CA
Legal business name
OPTIONS MEDICAL CENTER, INC
Practice address
11497 Bartlett Ave Ste B1
Adelanto, CA 92301-1901
Phone
(760) 246-6600
Fax
(760) 246-6608
NPI assigned
Jul 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2012

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

Authorized official

Name
Karin Kerk, M.D.
Title
President
Phone
(760) 246-6600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A108988 CA Primary

Addresses

Primary practice location

11497 Bartlett Ave Ste B1
Adelanto, CA 92301-1901

Mailing address

11497 Bartlett Ave Ste B1
Adelanto, CA 92301-1901
Phone (760) 246-6600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341532800000",
    "number": "1669737508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11497 BARTLETT AVE STE B1",
            "city": "ADELANTO",
            "state": "CA",
            "postal_code": "923011901",
            "telephone_number": "760-246-6600",
            "fax_number": "760-246-6608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11497 BARTLETT AVE STE B1",
            "city": "ADELANTO",
            "state": "CA",
            "postal_code": "923011901",
            "telephone_number": "760-246-6600",
            "fax_number": "760-246-6608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIONS MEDICAL CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-06",
        "last_updated": "2012-07-06",
        "status": "A",
        "authorized_official_last_name": "KERK",
        "authorized_official_first_name": "KARIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-246-6600",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A108988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Adelanto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.