Alliance Desert Physicians

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A54985 Issued in CA

Legal business name

ALLIANCE DESERT PHYSICIANS

Practice address

17259 Jasmine St
Suite B
Victorville, CA 92395-7787

Phone

(760) 241-4929

NPI assigned

Apr 1, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Dennis P. Flynn, M.D.

Title

Vice President of Medical Affairs

Phone

(909) 335-4101

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1270080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270080000000",
    "number": "1740505742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17259 JASMINE ST",
            "address_2": "SUITE B",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957787",
            "telephone_number": "760-241-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17259 JASMINE ST",
            "address_2": "SUITE B",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957787",
            "telephone_number": "760-241-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE DESERT PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-01",
        "last_updated": "2010-04-01",
        "status": "A",
        "authorized_official_last_name": "FLYNN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "VICE PRESIDENT OF MEDICAL AFFAIRS",
        "authorized_official_telephone_number": "909-335-4101",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A54985",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A74104",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Allen
• Danita Allen
• Ja'Niece Allen
• Michelle Allen, MASTER SOCIAL WORK
• Nichole Renee Allen
• Alliance for Wellness, Inc.
• Allied Behavioral Health and Counseling Center
• Kishan Kumar Allikesam, MD
• Eric Allison
• Raghava Rao Alluri

• Internal Medicine Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; 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.