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IDYLLWILD HEALTH CENTER
NPI 1407964489
Internal Medicine in Idyllwild, CA

Active since August 29, 2006CLIA 05D0862321 · Waiver
54910 PINECREST AVE, IDYLLWILD, CA 92549(951) 659-4908(951) 659-2984 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Idyllwild Health Center NPPES

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

IDYLLWILD HEALTH CENTER (NPI 1407964489) is a healthcare organization registered as an internal medicine in Idyllwild, California and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through May 4, 2027 and lists Kamran Qureshi, President, as its authorized official.

NPPES Registry Identity

NPI1407964489
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameIDYLLWILD HEALTH CENTER
Location Address54910 PINECREST AVEIdyllwild, CA 92549
Mailing AddressPo Box 3152Idyllwild, CA 92549-3152 · (951) 659-4908 · Fax (951) 659-2984
Phone(951) 659-4908
Fax(951) 659-2984
Organization SubpartNo
Authorized OfficialKamran QureshiPresident · (951) 659-4908
Enumeration DateAugust 29, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1407964489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X
54910 PINECREST AVE, Idyllwild, CA 92549
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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

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 05D0862321

Idyllwild Health Center · Idyllwild, CA
Active · expires May 4, 2027
CLIA Number05D0862321
Laboratory TypePhysician Office
Certificate Effective DateMay 5, 2025
Certificate Expiration DateMay 4, 2027
Laboratory DirectorKamran A. Qureshi
Laboratory Phone(951) 659-4908
Laboratory LocationIdyllwild Health Center54165 Pinecrest Ave, Idyllwild, CA 92549
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 Idyllwild Health Center's NPI number?

The NPI number for Idyllwild Health Center is 1407964489. It was assigned to this organization in the NPPES registry on August 29, 2006.

Where is Idyllwild Health Center located?

Idyllwild Health Center is located at 54910 Pinecrest Ave, Idyllwild, CA 92549. The listed phone number is (951) 659-4908.

What is Idyllwild Health Center's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Idyllwild Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0862321) is associated with this NPI, valid through May 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Idyllwild Health Center was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.