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HIGH DESERT PACE CENTER
NPI 1184496739
Family Medicine - Geriatric Medicine in Victorville, CA

Active since October 26, 2023CLIA 05D2297048 · Waiver
11833 AMETHYST ST., VICTORVILLE, CA 92392(760) 932-0920(760) 299-9464 Get Directions Write a Review

NPPES record last updated: October 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About High Desert Pace Center NPPES

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

HIGH DESERT PACE CENTER (NPI 1184496739) is a healthcare organization registered as a geriatric medicine in Victorville, California and active in the NPI registry since October 2023. The organization holds a CLIA Waiver certificate valid through January 9, 2028 and lists Nicole Garza, Director, as its authorized official.

NPPES Registry Identity

NPI1184496739
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameHIGH DESERT PACE CENTER
Location Address11833 AMETHYST ST.Victorville, CA 92392
Mailing Address472 W Lexington AveClovis, CA 93619-8362 · (559) 930-7722
Phone(760) 932-0920
Fax(760) 299-9464
Organization SubpartNo
Authorized OfficialNicole GarzaDirector · (559) 930-7722
Enumeration DateOctober 26, 2023
NPPES CertifiedOctober 25, 2023
✔ NPI 1184496739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
11833 AMETHYST ST., Victorville, CA 92392
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 05D2297048

High Desert Pace · Visalia, CA
Active · expires Jan 9, 2028
CLIA Number05D2297048
Laboratory TypePace
Certificate Effective DateJanuary 10, 2026
Certificate Expiration DateJanuary 9, 2028
Laboratory DirectorArash Milani
Laboratory Phone(760) 932-0920
Laboratory LocationHigh Desert Pace11833 Amethyst Road, Visalia, CA 93292
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is High Desert Pace Center's NPI number?

The NPI number for High Desert Pace Center is 1184496739. It was assigned to this organization in the NPPES registry on October 26, 2023.

Where is High Desert Pace Center located?

High Desert Pace Center is located at 11833 Amethyst St., Victorville, CA 92392. The listed phone number is (760) 932-0920.

What is High Desert Pace Center's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Does High Desert Pace Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2297048) is associated with this NPI, valid through January 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for High Desert Pace Center was last updated on October 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.