Desert Bloom Recovery LLC

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

DESERT BLOOM RECOVERY LLC

Practice address

14286 California Ave Ste 102
Victorville, CA 92392-2911

Phone

(888) 503-1503

NPI assigned

Dec 9, 2019

Organization subpart

No

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

Authorized official

Name

Michael Forcen

Title

Owner

Phone

(888) 503-1503

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Locations

Practitioners 2

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

• Debra Perez, CADCII,ICRC,CDVFIII

  • Addiction (Substance Use Disorder) Counselor
  • Victorville, CA
  • NPI 1467676833
  NPD (past)
• Marsha Vonlinsowe

  • Addiction (Substance Use Disorder) Counselor
  • Victorville, CA
  • NPI 1174469126
  NPD (past)

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1811534811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13782 BEAR VALLEY RD STE D3",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923928516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14286 CALIFORNIA AVE STE 102",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922911",
            "telephone_number": "888-503-1503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT BLOOM RECOVERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-09",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "FORCEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-503-1503"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adriana Delgado
• Jazlyn Naomi Delgado
• Dental Specialties 2ND Dr, Jesse a Professional Corporation
• Department of Behavioral Health, San Bernardino County Ca
• Tejal Desai
• Desert Community Hospice, Inc.
• Desert Heart Cardiology and Associates PLC
• Desert Horizon Residential Care
• Desert Medical Equipment, Inc
• Desert Ridge Transitional Care Center, LP

• Substance Use Disorder Rehabilitation Clinic/Center in Victorville, CA
• Providers in Victorville, CA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.