Premier Medical Management, Inc.

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

PREMIER MEDICAL MANAGEMENT, INC.

Practice address

18092 Wika Rd, Suite 200
Apple Valley, CA 92307-1331

Phone

(760) 946-1344

Fax

(760) 242-8351

NPI assigned

Aug 30, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Vikram M Patel

Title

Ceo

Phone

(760) 242-9828

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Sunil Hasmukh Patel, D.O.

  • Nephrology Physician
  • Apple Valley, CA
  • NPI 1134274012
  NPD (past)

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881704633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16048 TUSCOLA RD STE 5",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071328",
            "telephone_number": "760-242-9828",
            "fax_number": "760-242-8351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18092 WIKA RD, SUITE 200",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071331",
            "telephone_number": "760-946-1344",
            "fax_number": "760-242-8351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER MEDICAL MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "VIKRAM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-242-9828",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reed Madsen Powell Jr., O.D.
• Ratana Ruth Powers, PHARM.D.
• Om Prakash, M.D
• Michelle Villa Preciado, COTA/L
• Precision Wound Clinicians Inc
• Laquel Pressley
• Mary Pringle
• Progressive Movement Inc.
• Providence Medical Foundation
• Provident Place

• Multi-Specialty Clinic/Center in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Multi-Specialty Clinic/Center 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.