Individual provider Active NPI

Nicole McFarland, D.O.

  • Family Medicine Physician
  • Victorville, CA
National Provider Identifier
1942654587
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A21011 Issued in CA
Practice address
15237 Eleventh St Ste C
Victorville, CA 92395-3736
Phone
(760) 493-9300
Fax
(760) 493-9400
NPI assigned
Apr 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A21011 CA Primary

Addresses

Primary practice location

15237 Eleventh St Ste C
Victorville, CA 92395-3736

Mailing address

15237 Eleventh St Ste C
Victorville, CA 92395-3736
Phone (760) 493-9300

Other practice location 1

240 Meeting House Ln
Southampton, NY 11968-5009
Phone (631) 726-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231127000075 CA Practitioner - Family Practice 8123350188 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Namita Mohideen MD IncGroup PAC ID 1759785934, 9 clinicians

Practice addresses (Care Compare)

15237 Eleventh St
Suite C
Victorville, CA 92395-3736

16465 Sierra Lakes Pkwy
Fontana, CA 92336-1242
Phone (909) 823-8000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
6319OKMDClinical Social Worker
20A21011CAMDFamily Medicine Physician
21011CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Comanche County Hospital Authority CurrentSince Oct 5, 2019 Accepting new patients
Comanche County Hospital Authority CurrentSince Oct 5, 2019 Accepting new patients
Namita Mohideen MD Inc CurrentSince Oct 1, 2023 Accepting new patients
Corwin Medical Group Inc Ipa Family Medicine Past Accepting new patients

Locations

16465 Sierra Lakes Pkwy
Ste 115
Fontana, CA 92336
Phone (909) 823-8000

603 E Latham Ave
Ste A
Hemet, CA 92543
Phone (951) 502-3500

15237 Eleventh St
Ste C
Victorville, CA 92395
Phone (760) 493-9300

512 W C Ave
Cache, OK 73527
Phone (580) 699-7355

5404 SW Lee Blvd
Lawton, OK 73505
Phone (580) 355-5242

3401 W Gore Blvd
Lawton, OK 73505
Phone (580) 483-5207

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1942654587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15237 ELEVENTH ST STE C",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953736",
            "telephone_number": "760-493-9300",
            "fax_number": "760-493-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15237 ELEVENTH ST STE C",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923953736",
            "telephone_number": "760-493-9300",
            "fax_number": "760-493-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "240 Meeting House Ln",
            "address_purpose": "LOCATION",
            "city": "Southampton",
            "state": "NY",
            "postal_code": "119685009",
            "country_code": "US",
            "telephone_number": "631-726-8200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCFARLAND",
        "first_name": "NICOLE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A21011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.