Individual provider Active NPI

Yvonne R Telgt-McKinney, M.D.

  • Family Medicine Physician
  • Victorville, CA
National Provider Identifier
1689607053
Registry record updated Nov 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A87666 Issued in CA
Practice address
16519 Victor St
Suite 307
Victorville, CA 92395-3965
Phone
(760) 955-9555
Fax
(760) 955-8558
NPI assigned
Jul 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A87666 CA Primary

Addresses

Primary practice location

16519 Victor St
Suite 307
Victorville, CA 92395-3965

Mailing address

16519 Victor St
Suite 307
Victorville, CA 92395-3965
Phone (760) 955-9555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041006000647 CA Practitioner - Family Practice 8123087178 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

16245 Desert Knoll Dr
Victorville, CA 92395-4011
Phone (760) 955-9555

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Health Collaborative Corporation Family Medicine Current Accepting new patients
Cal Choice Family Practice Inc Family Medicine CurrentSince Sep 1, 2005 Accepting new patients
High Desert Primary Care Past Accepting new patients

Locations

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

16519 Victor St
Ste 307
Victorville, CA 92395
Phone (760) 955-9555

16245 Desert Knoll Dr
Victorville, CA 92395
Phone (760) 245-1997

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1152403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635811200000",
    "number": "1689607053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16519 VICTOR ST",
            "address_2": "SUITE 307",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953965",
            "telephone_number": "760-955-9555",
            "fax_number": "760-955-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16519 VICTOR ST",
            "address_2": "SUITE 307",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953965",
            "telephone_number": "760-955-9555",
            "fax_number": "760-955-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELGT-MCKINNEY",
        "first_name": "YVONNE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-09",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A87666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.