Organization Active NPI

High Desert Womens Memorial Medical Center Apc

Doing business as Birth & Womens Medical Center

  • Specialist
  • Apple Valley, CA
National Provider Identifier
1790970077
Registry record updated Jul 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A50695 Issued in CA
Legal business name
HIGH DESERT WOMENS MEMORIAL MEDICAL CENTER APC
Doing business as
Birth & Womens Medical Center
Practice address
18158 US Highway 18
Apple Valley, CA 92307-2202
Phone
(760) 242-3539
Fax
(760) 242-7474
NPI assigned
Sep 11, 2007
Organization subpart
Yes
Parent organization
HIGH DESERT WOMENS MEMORIAL MEDICAL CENTER APCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 4, 2023

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

Authorized official

Name
Lu-Wei King, MDNPI 1184647950
Title
Medical Director
Phone
(760) 242-3539

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
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X A50695 CA Primary

Addresses

Primary practice location

18158 US Highway 18
Apple Valley, CA 92307-2202

Mailing address

18158 US Highway 18
Apple Valley, CA 92307-2202
Phone (760) 242-3539

Other identifiers 2

IdentifierTypeStateIssuer
ZZZ21257ZOtherCAMEDICARE PTAN
1790970077MedicaidCA

Other names 1

  • BIRTH & WOMENS MEDICAL CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050620000381 CA Part B Supplier - Clinic/Group Practice 9133163298 Receives reassigned benefits from 1 practitioner
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Apple Valley, CA; Los Angeles, CA; Barstow, CA; Huntington Park, CA

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0952560Birth and Womens Medical Center18158 US Hwy 18, Apple Valley, CA 92307Provider-performed microscopyDec 13, 2027

National Provider Directory

National Provider Directory
Tax ID family
High Desert Womans3 organizations share this tax ID, including this one
Part of
High Desert Womans

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

18158 US Highway 18
Apple Valley, CA 92307
Phone (760) 242-3539

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": "1189468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688428800000",
    "number": "1790970077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18158 US HIGHWAY 18",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072202",
            "telephone_number": "760-242-3539",
            "fax_number": "760-242-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18158 US HIGHWAY 18",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072202",
            "telephone_number": "760-242-3539",
            "fax_number": "760-242-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT WOMENS MEMORIAL MEDICAL CENTER APC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HIGH DESERT WOMENS MEMORIAL MEDICAL CENTER APC",
        "enumeration_date": "2007-09-11",
        "last_updated": "2023-07-04",
        "certification_date": "2023-07-04",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "LU-WEI",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "760-242-3539",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A50695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  PTAN",
            "identifier": "ZZZ21257Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790970077",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BIRTH & WOMENS MEDICAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.