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HESPERIA CLINICA MEDICA FAMILIAR A MEDICAL CORPORATION
NPI 1164728788
Family Medicine in Hesperia, CA

Active since January 28, 2011CLIA 05D2025982 · Waiver
15888 MAIN ST, SUITE 112B, HESPERIA, CA 92345(760) 948-2242(760) 948-6244 Get Directions Write a Review

NPPES record last updated: July 13, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Hesperia Clinica Medica Familiar A Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HESPERIA CLINICA MEDICA FAMILIAR A MEDICAL CORPORATION (NPI 1164728788) is a healthcare organization registered as a family medicine in Hesperia, California and active in the NPI registry since January 2011. The organization holds a CLIA Waiver certificate valid through June 21, 2027 and lists Octavio Ruiz-villalpando, Owner/president, as its authorized official.

NPPES Registry Identity

NPI1164728788
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHESPERIA CLINICA MEDICA FAMILIAR A MEDICAL CORPORATION
Location Address15888 MAIN ST, SUITE 112BHesperia, CA 92345-3467
Mailing Address15888 Main St, Suite 112bHesperia, CA 92345-3467 · (760) 948-2242 · Fax (760) 948-6244
Phone(760) 948-2242
Fax(760) 948-6244
Organization SubpartNo
Authorized OfficialOctavio Ruiz-villalpandoOwner/president · (760) 948-2242
Enumeration DateJanuary 28, 2011
Last NPPES UpdateJuly 13, 2012
✔ NPI 1164728788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A92039
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

15888 MAIN ST, Hesperia, CA 92345
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Other Names 1

Doing Business AsHesperia Clinica Medica Familiar A Medical Corporation

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2025982

Hesperia Clinica Medica Familiar A Medical Corporation · Hesperia, CA
Active · expires Jun 21, 2027
CLIA Number05D2025982
Laboratory TypePhysician Office
Certificate Effective DateJune 22, 2025
Certificate Expiration DateJune 21, 2027
Laboratory DirectorOctavo Ruiz- Villalpando
Laboratory Phone(760) 948-2242
Laboratory LocationHesperia Clinica Medica Familiar A Medical Corporation15888 Main St Ste 112(b), Hesperia, CA 92345
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JINTAU ERNEST TWO OP
Optometrist
15888 MAIN ST, #112A
HESPERIA, CA 92345
San Bernardino County (760) 949-2242
DR. LUIS ANDRES SALDANA D.C.
Chiropractor
15888 MAIN ST
HESPERIA, CA 92345
San Bernardino County (760) 617-5621
ERIC R. HANSEN, D.O., PROFESSIONAL CORPORATION
Non-Pharmacy Dispensing Site
15888 MAIN ST, 112B
HESPERIA, CA 92345
San Bernardino County (760) 947-0727

Frequently Asked Questions

What is HESPERIA CLINICA MEDICA FAMILIAR A MEDICAL CORPORATION's NPI number?

The NPI number assigned to this healthcare provider is 1164728788, enumerated as an "organization" on January 28, 2011.

Where is the provider located?

The provider is located at 15888 MAIN ST SUITE 112B HESPERIA, CA 92345 and the phone number is (760) 948-2242.

What is the provider's specialty?

Family Medicine with taxonomy code 207Q00000X.