High Desert Valley Pediatric Medical Group, Inc.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G31712 Issued in CA

Legal business name

HIGH DESERT VALLEY PEDIATRIC MEDICAL GROUP, INC.

Practice address

18270 Siskiyou Rd
Apple Valley, CA 92307-1413

Phone

(760) 242-3677

Fax

(760) 242-3897

NPI assigned

Jul 6, 2006

Organization subpart

No

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

Authorized official

Name

Michael Brams, M.D.

Title

President

Phone

(760) 242-3677

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Joseph Anthony Maloney, M.D.

  • Pediatrics Physician
  • Apple Valley, CA
  • NPI 1942235544
  NPD (past)
• Ruth Pena, PA-C

  • Medical Physician Assistant
  • New Berlin, WI
  • NPI 1033496930
  NPD (past)

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1851322010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18270 SISKIYOU RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071413",
            "telephone_number": "760-242-3677",
            "fax_number": "760-242-3897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18270 SISKIYOU RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071413",
            "telephone_number": "760-242-3677",
            "fax_number": "760-242-3897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT VALLEY PEDIATRIC MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BRAMS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-242-3677",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G31712",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0023000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• High Desert Primary Care Medical Group
• High Desert Pulmonary Associates, Inc
• High Desert Sleep Disorder Center
• High Desert Specialty Group
• High Desert Specialty Group
• High Desert Vein and Vascular P C
• High Desert Womens Memorial Medical Center Apc
• Higher Calling Healthcare Agency LLC
• Naomi Meade Hill
• Michelle Hillmann

• Pediatrics Physician in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Pediatrics Physician in California

• 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.