HIGH DESERT PRIMARY CARE - VICTORVILLE
NPI 1205021581
Non-Pharmacy Dispensing Site in Victorville, CA
About High Desert Primary Care - Victorville NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HIGH DESERT PRIMARY CARE - VICTORVILLE (NPI 1205021581) is a healthcare organization registered as a non-pharmacy dispensing site in Victorville, California and active in the NPI registry since September 2007. The organization lists Kenny Heine, Director Of Operations, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Primary Care's NPI number?
The NPI number for High Desert Primary Care is 1205021581. It was assigned to this organization in the NPPES registry on September 11, 2007. The provider is doing business as High Desert Primary Care - Victorville.
Where is High Desert Primary Care located?
High Desert Primary Care is located at 12550 Hesperia Rd, Victorville, CA 92395. The listed phone number is (760) 241-6666.
What is High Desert Primary Care's specialty?
The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.
When was this NPI record last updated?
The NPPES record for High Desert Primary Care was last updated on October 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# High Desert Primary Care - Victorville · NPI 1205021581
Non-Pharmacy Dispensing Site organization in Victorville, California. Organization record, active in the CMS NPPES registry since September 11, 2007.
## Identity
- **NPI:** 1205021581 (Entity type: Organization)
- **Enumerated:** September 11, 2007
- **Primary specialty:** Non-Pharmacy Dispensing Site · taxonomy 332900000X
- **Legal business name:** High Desert Primary Care
- **Organization subpart:** Yes (part of Medvantx, Inc.)
- **Authorized official:** Kenny Heine, DIRECTOR OF OPERATIONS
## Practice location
- **Address:** 12550 HESPERIA RD, Victorville, CA 92395-5873
- **Phone:** (760) 241-6666
## Record status
- **NPPES last updated:** October 22, 2012
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Source: [NPI Profile](https://npiprofile.com/npi/1205021581) · Data from the CMS NPPES public registry.