Individual provider Active NPI

Tonya Maria Pinkerton, PA-C

  • Physician Assistant
  • Victorville, CA
National Provider Identifier
1952538779
Registry record updated Feb 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20423 Issued in CA
Practice address
14285 Amargosa Rd Ste 100
Victorville, CA 92392-9707
Phone
(760) 955-7095
NPI assigned
Jun 18, 2009
Last updated
Feb 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20423 CA Primary

Addresses

Primary practice location

14285 Amargosa Rd Ste 100
Victorville, CA 92392-9707

Mailing address

14285 Amargosa Rd Ste 100
Victorville, CA 92392-9707
Phone (760) 955-7095

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110803000917 CA Practitioner - Physician Assistant 7012186299 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kelly Ahmed MD IncGroup PAC ID 7517277643, 2 clinicians

Practice addresses (Care Compare)

14285 Amargosa Rd
Victorville, CA 92392-9707
Phone (760) 955-7095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
20423CAMDProfessional Counselor
PA20423CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Medical Group, Inc CurrentSince Mar 2, 2013 Accepting new patients
Pinnacle Medical Group, Inc CurrentSince Mar 2, 2013 Accepting new patients
Beaver Medical Group P C CurrentSince Jun 6, 2011 Accepting new patients
Beaver Medical Group P C CurrentSince Jun 6, 2011 Accepting new patients
Kelly Ahmed M.D., Inc. CurrentSince Mar 1, 2026 Accepting new patients
Kelly Ahmed M.D., Inc. PastSince Mar 3, 2024 Accepting new patients

Locations

10431 Lemon Ave
Ste N
Rch Cucamonga, CA 91737
Phone (909) 466-6579

1615 Orange Tree Ln
Redlands, CA 92374
Phone (909) 335-4102

2 W Fern Ave
Redlands, CA 92373
Phone (909) 335-4137

2 W Fern Ave
#1112
Redlands, CA 92373

2150 N Waterman Ave
Ste 102
Sn Bernrdno, CA 92404
Phone (909) 881-4115

14285 Amargosa Rd
Victorville, CA 92392
Phone (760) 951-1076

14285 Amargosa Rd
Ste 100
Victorville, CA 92392
Phone (760) 955-7095

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1952538779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14285 AMARGOSA RD STE 100",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923929707",
            "telephone_number": "760-955-7095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14285 AMARGOSA RD STE 100",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923929707",
            "telephone_number": "760-955-7095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKERTON",
        "first_name": "TONYA",
        "middle_name": "MARIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-18",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20423",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.