Active NPI
Morongo Basin OB/GYN Medical Group Inc
- Obstetrics & Gynecology Physician
- Yucca Valley, CA
National Provider Identifier
1992705370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 20A6300
- Legal business name
- MORONGO BASIN OB/GYN MEDICAL GROUP INC
- Practice address
- 57445 29 Palms Hwy
Ste 301
Yucca Valley, CA 92284-2947 - Phone
- (760) 365-2800
- Fax
- (760) 365-1406
- NPI assigned
- Jul 27, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Andre Martin Kasko, DO
- Title
- President/Ceo
- Phone
- (760) 365-2800
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 20A6300 | CA | Primary |
Addresses
Primary practice location
57445 29 Palms Hwy
Ste 301
Yucca Valley, CA 92284-2947
Mailing address
PO Box 1220
Joshua Tree, CA 92252-0810
Phone (760) 365-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00AX63000 | Medicaid | CA |
Other names 1
- Dr. Andre Kasko
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050111001002 | CA | Part B Supplier - Clinic/Group Practice | 7416905914 |
Receives reassigned benefits from 2 practitioners 1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Joshua Tree, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Obstetrics Physician
- Joshua Tree, CA
- NPI 1629392675
O20050111001002
National Provider Directory
National Provider Directory- Tax ID family
- Dr Andre Kasko
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Obstetrics Physician
- Joshua Tree, CA
- NPI 1629392675
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Gynecology Physician
- Yucca Valley, CA
- NPI 1679624191
Critical Care Medicine
-
- Obstetrics & Gynecology Physician
- Tulare, CA
- NPI 1013100874
-
- Obstetrics & Gynecology Physician
- Gainesville, FL
- NPI 1942393400
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789084800000",
"number": "1992705370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1220",
"city": "JOSHUA TREE",
"state": "CA",
"postal_code": "922520810",
"telephone_number": "760-365-2800",
"fax_number": "760-365-2801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57445 29 PALMS HWY",
"address_2": "STE 301",
"city": "YUCCA VALLEY",
"state": "CA",
"postal_code": "922842947",
"telephone_number": "760-365-2800",
"fax_number": "760-365-1406"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MORONGO BASIN OB/GYN MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2005-07-27",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A",
"authorized_official_last_name": "KASKO",
"authorized_official_first_name": "ANDRE",
"authorized_official_middle_name": "MARTIN",
"authorized_official_title_or_position": "PRESIDENT/CEO",
"authorized_official_telephone_number": "760-365-2800",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "20A6300",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00AX63000",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Dr. Andre Kasko",
"code": "4",
"type": "Former Legal Business Name"
}
]
}Other providers in Yucca Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.