Organization Active NPI

Medicus, a Medical Corporation

  • Rural Health Clinic/Center
  • Yucca Valley, CA
National Provider Identifier
1730149949
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
License
G42621 Issued in CA
Legal business name
MEDICUS, A MEDICAL CORPORATION
Practice address
7350 Church St
Yucca Valley, CA 92284-3246
Phone
(760) 369-3069
Fax
(760) 369-3072
NPI assigned
Mar 23, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Robert Stevens Robbins, M.D.NPI 1962525428
Title
Medical Director
Phone
(760) 770-4600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X G42621 CA Primary

Addresses

Primary practice location

7350 Church St
Yucca Valley, CA 92284-3246

Mailing address

7350 Church St
Yucca Valley, CA 92284-3246
Phone (760) 369-3069

Other identifiers 1

IdentifierTypeStateIssuer
RHM53845FMedicaidCA

Other names 1

  • Hi Desert Family Medical Clinic Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730149949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7350 CHURCH ST",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843246",
            "telephone_number": "760-369-3069",
            "fax_number": "760-369-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7350 CHURCH ST",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922843246",
            "telephone_number": "760-369-3069",
            "fax_number": "760-369-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICUS, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBBINS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "STEVENS",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "760-770-4600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "CA",
            "license": "G42621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM53845F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hi Desert Family Medical Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yucca Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.