Organization Active NPI

Healthy Solution Inc

  • Internal Medicine Physician
  • Victorville, CA
National Provider Identifier
1871821850
Registry record updated Dec 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C52983 Issued in CA
Legal business name
HEALTHY SOLUTION INC
Practice address
15382 W Sage St
#103
Victorville, CA 92392-2307
Phone
(760) 514-1669
NPI assigned
Dec 2, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2009

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

Authorized official

Name
Michael W Perry, M.D.
Title
President
Phone
(760) 514-1669

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X C52983 CA Primary

Addresses

Primary practice location

15382 W Sage St
#103
Victorville, CA 92392-2307

Mailing address

1626 Wilcox Ave
#510
Los Angeles, CA 90028-6206
Phone (760) 514-1669

National Provider Directory

National Provider Directory

Locations

15382 W Sage St
Ste 103
Victorville, CA 92392
Phone (760) 514-1669

NPI Registry JSON

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

{
    "created_epoch": "1259712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1259712000000",
    "number": "1871821850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 WILCOX AVE",
            "address_2": "#510",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900286206",
            "telephone_number": "760-514-1669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15382 W SAGE ST",
            "address_2": "#103",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922307",
            "telephone_number": "760-514-1669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY SOLUTION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-02",
        "last_updated": "2009-12-02",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-514-1669",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "C52983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2009; 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.