Physician Health Collaborative Corporation

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A87666 Issued in CA

Legal business name

PHYSICIAN HEALTH COLLABORATIVE CORPORATION

Practice address

11497 Bartlett Ave Ste B1
Adelanto, CA 92301-1901

Phone

(760) 246-6600

Fax

(760) 955-8558

NPI assigned

Jun 14, 2017

Last updated

Jul 21, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stuart Levine, MD

Title

Sole Shareholder

Phone

(760) 955-9555

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Yvonne R Telgt-McKinney, M.D.

  • Family Medicine Physician
  • Victorville, CA
  • NPI 1689607053
  NPD

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

{
    "created_epoch": "1497398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1851821680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11497 BARTLETT AVE STE B1",
            "city": "ADELANTO",
            "state": "CA",
            "postal_code": "923011901",
            "telephone_number": "760-246-6600",
            "fax_number": "760-955-8558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11497 BARTLETT AVE STE B1",
            "city": "ADELANTO",
            "state": "CA",
            "postal_code": "923011901",
            "telephone_number": "760-246-6600",
            "fax_number": "760-955-8558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIAN HEALTH COLLABORATIVE CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-14",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "STUART",
        "authorized_official_title_or_position": "SOLE SHAREHOLDER",
        "authorized_official_telephone_number": "760-955-9555",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A87666",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G57910",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Options Medical Center, Inc
• Steve Bryant Orozco
• Michelle Palacio
• Marilyn Perez
• Maritza Peters, RPH
• Jesus Prado
• Naderhia Price
• Carl Requintina
• Meloney Requintina
• Val Roberts

• Family Medicine Physician in Adelanto, CA
• Providers in Adelanto, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.