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SHILOH MEDICAL CENTER INC
NPI 1245333830
Family Medicine in Victorville, CA

Active since September 07, 2006CLIA Certified · 2 labs
12332 HESPERIA RD, STE A, VICTORVILLE, CA 92395(760) 243-4009(760) 243-3255 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Shiloh Medical Center Inc NPPES

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

SHILOH MEDICAL CENTER INC (NPI 1245333830) is a healthcare organization registered as a family medicine in Victorville, California and active in the NPI registry since September 2006. The organization holds 2 active CLIA laboratory certificates and lists Charmaine E Earle, President, as its authorized official.

NPPES Registry Identity

NPI1245333830
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSHILOH MEDICAL CENTER INC
Location Address12332 HESPERIA RD, STE AVictorville, CA 92395
Mailing Address12332 Hesperia Rd, Ste AVictorville, CA 92395 · (760) 243-4009 · Fax (760) 243-3255
Phone(760) 243-4009
Fax(760) 243-3255
Organization SubpartNo
Authorized OfficialCharmaine E EarlePresident · (760) 243-4009
Enumeration DateSeptember 7, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1245333830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
12332 HESPERIA RD, Victorville, CA 92395
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shiloh Medical Center Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Shiloh Medical Center Inc, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Charmaine Earle, MD
Family Practice
NPI 1598833303
12984 HESPERIA RD STE 101
Victorville, CA 92395
(760) 243-4009
✔ PECOS✔ Accepts Medicare0.8 mi
Alvenia Murray
Nurse Practitioner
NPI 1174281208
390 N LOOP ROAD
Fort Irwin, CA 92310
(573) 586-8238
✔ PECOS17 mi
Tere-Monique Carrington, DNP, APRN, FNP-C
Nurse Practitioner
NPI 1376006544
711 W 2ND ST STE A
San Bernardino, CA 92410
(888) 854-1397
✔ PECOS26 mi
Judith Lewis, FNP
Nurse Practitioner
NPI 1588364640
2 EMBARCADERO CTR
San Francisco, CA 94111
(888) 663-6331
✔ PECOS366 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 2

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 05D1045290

Shiloh Medical Center · Victorville, CA
Active · expires Sep 11, 2027
CLIA Number05D1045290
Laboratory TypePhysician Office
Certificate Effective DateSeptember 12, 2025
Certificate Expiration DateSeptember 11, 2027
Laboratory DirectorCharmaine E. Earle, MD
Laboratory Phone(760) 243-4009
Laboratory LocationShiloh Medical Center12984 Hesperia Rd Ste 101, Victorville, CA 92395
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D1076561

Shiloh Medical · Victorville, CA
Active · expires May 3, 2028
CLIA Number05D1076561
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2026
Certificate Expiration DateMay 3, 2028
Laboratory DirectorCharmaine Earle MD
Laboratory Phone(760) 843-5866
Laboratory LocationShiloh Medical12384 Palmdale Rd #203, Victorville, CA 92392
CLIA data matches this NPI record on: Name
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 Shiloh Medical Center Inc's NPI number?

The NPI number for Shiloh Medical Center Inc is 1245333830. It was assigned to this organization in the NPPES registry on September 7, 2006.

Where is Shiloh Medical Center Inc located?

Shiloh Medical Center Inc is located at 12332 Hesperia Rd Ste A, Victorville, CA 92395. The listed phone number is (760) 243-4009.

What is Shiloh Medical Center Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shiloh Medical Center Inc enrolled in Medicare?

Yes. Shiloh Medical Center Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Shiloh Medical Center Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Shiloh Medical Center Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Family Practice (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Shiloh Medical Center Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Shiloh Medical Center Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.