Bear Valley Primary Care Inc

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

A101657 Issued in CA

Legal business name

BEAR VALLEY PRIMARY CARE INC

Practice address

12186 Hesperia Rd
Victorville, CA 92395-5822

Phone

(760) 381-8848

Fax

(760) 381-8810

NPI assigned

Jun 20, 2016

Organization subpart

No

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

Authorized official

Name

Jose Alvarez De la Llana, M.D.NPI 1326244062

Title

President

Phone

(561) 927-5240

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Jose Alvarez De la Llana, M.D.

  • General Practice Physician
  • Ontario, CA
  • NPI 1326244062
  NPD Authorized official
• Yohannes Debebe, P.A.

  • Physician Assistant
  • Victorville, CA
  • NPI 1932152683
  NPD (past)

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466380800000",
    "number": "1871943035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12186 HESPERIA RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955822",
            "telephone_number": "760-381-8848",
            "fax_number": "760-381-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12186 HESPERIA RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955822",
            "telephone_number": "760-381-8848",
            "fax_number": "760-381-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAR VALLEY PRIMARY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A",
        "authorized_official_last_name": "DE LA LLANA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "ALVAREZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-927-5240",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A101657",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Bayless
• Saysha Bazan
• Be Brave Sober Living ,Inc
• Bear Valley Clinica Familiar, Inc
• Bear Valley Clinica Medica Familiar a Medical Corporation
• Bear Valley Urgent Care Inc
• Robert M Bearman, MD
• Eva Becerra-Richards
• Emily Becerra
• Rosalina Becerra

• Primary Care Clinic/Center in Victorville, CA
• Providers in Victorville, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2016; 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.