Organization Active NPI

Desert Rose Trauma Recovery

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Victorville, CA
National Provider Identifier
1891389060
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
DESERT ROSE TRAUMA RECOVERY
Practice address
15431 Anacapa Rd Ste H
Victorville, CA 92392-2458
Phone
(760) 642-1994
NPI assigned
Feb 26, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Authorized official

Name
Lama SalamaNPI 1689268831
Title
Director
Phone
(760) 810-8325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

15431 Anacapa Rd Ste H
Victorville, CA 92392-2458

Mailing address

15431 Anacapa Rd Ste H
Victorville, CA 92392-2458

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address admin@drtrauma.org

National Provider Directory

National Provider Directory

Locations

15431 Anacapa Rd
Ste H
Victorville, CA 92392
Phone (415) 488-5008

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1614297600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731888000000",
    "number": "1891389060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15431 ANACAPA RD STE H",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15431 ANACAPA RD STE H",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923922458",
            "telephone_number": "760-642-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT ROSE TRAUMA RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-26",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A",
        "authorized_official_last_name": "SALAMA",
        "authorized_official_first_name": "LAMA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "760-810-8325"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "admin@drtrauma.org",
            "affiliation": "N",
            "address_1": "15431 Anacapa Rd Ste H",
            "city": "Victorville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "923922458",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Nov 18, 2024; 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.