NPIMap

Organization Active NPI

Hi -Desert Memorial Health Care District

Doing business as Morongo Basin Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Yucca Valley, CA
National Provider Identifier
1841612082
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HI -DESERT MEMORIAL HEALTH CARE DISTRICT
Doing business as
Morongo Basin Community Health Center
Practice address
58375 29 Palms Hwy
Yucca Valley, CA 92284-5890
Phone
(760) 365-9305
Fax
(866) 732-0113
NPI assigned
Jan 7, 2014
Last updated
Feb 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Authorized official

Name
Cindy Schmall
Title
Ceo
Phone
(760) 820-9229

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

58375 29 Palms Hwy
Yucca Valley, CA 92284-5890

Mailing address

6530 La Contenta Rd Ste 100
Yucca Valley, CA 92284-7313
Phone (760) 820-9229

Other practice location 1

58383 29 Palms Hwy Ste 100
Yucca Valley, CA 92284-5891
Phone (760) 365-9305

Other names 1

  • Morongo Basin Community Health Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20041201001069 CA Part B Supplier - Clinic/Group Practice 1254240898 Receives reassigned benefits from 20 practitioners
3 other NPIs on this enrollment
Practice locations: Twentynine Palms, CA; Yucca Valley, CA
O20140813000750 CA Part A Provider - Federally Qualified Health Center (FQHC) 1254240898 Practice locations: Yucca Valley, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841612082. Details of each certification follow.

Federally qualified health center certification: CCN 751072

Legal name
HI-DESERT MEMORIAL HEALTH CARE DISTRICT
Doing business as
MORONGO BASIN HEALTHCARE DISTRICT
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 13, 2014
Last certification
Aug 13, 2014
Ownership / control type
Non-profit – corporation
Organization structure
OtherNon-profit
Enrollment address
58375 29 Palms Hwy
Yucca Valley, CA 92284-5813

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

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
05D1046016Morongo Basin Community Health Center58375 29 Palms Highway, Suite B, Yucca Valley, CA 92284Certificate of waiverSep 27, 2027

National Provider Directory

National Provider Directory

Locations

72724 29 Palms Hwy
Twentynine Palms, CA 92277

6530 La Contenta Rd
Ste 100
Yucca Valley, CA 92284
Phone (760) 820-9229

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Hi-Desert Memorial Health Care District Organization, Yucca Valley, CA Non-profit Operational/Managerial Control Jul 1, 2015 100%
Cynthia a Schmall Individual Corporate OfficerCeo Dec 2, 2021 100%
W-2 Managing EmployeeCeo Dec 2, 2021 100%

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Morongo Basin Community Health Center-29Twentynine Palms, CA, CCN 751073 Federally qualified health center Operational/Managerial Control (100%) Jul 1, 2021
Morongo Basin Community Health CenterYucca Valley, CA, CCN 751975 Federally qualified health center Operational/Managerial Control (100%) Jul 15, 2015

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1389052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738800000000",
    "number": "1841612082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6530 LA CONTENTA RD STE 100",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922847313",
            "telephone_number": "760-820-9229",
            "fax_number": "866-732-0113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58375 29 PALMS HWY",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922845890",
            "telephone_number": "760-365-9305",
            "fax_number": "866-732-0113"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "58383 29 Palms Hwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Yucca Valley",
            "state": "CA",
            "postal_code": "922845891",
            "country_code": "US",
            "telephone_number": "760-365-9305",
            "fax_number": "866-732-0113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HI -DESERT MEMORIAL HEALTH CARE DISTRICT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-07",
        "last_updated": "2025-02-06",
        "certification_date": "2025-02-06",
        "status": "A",
        "authorized_official_last_name": "SCHMALL",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-820-9229"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Morongo Basin Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Yucca Valley, CA

Sources for this page

Verify at the official NPI Registry.