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VICTORVILLE PEDIATRICS
NPI 1497249155
Pediatrics in Victorville, CA

Active since June 17, 2018
15237 ELEVENTH ST STE A, VICTORVILLE, CA 92395(909) 823-8000(909) 823-8088 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 29, 2022, Jun 17, 2018 (2 updates tracked since 2018).

About Victorville Pediatrics NPPES

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

VICTORVILLE PEDIATRICS (NPI 1497249155) is a healthcare organization registered as a pediatrics in Victorville, California and active in the NPI registry since June 2018. The organization lists Namita Mohideen, Owner, as its authorized official.

NPPES Registry Identity

NPI1497249155
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameVICTORVILLE PEDIATRICS
Location Address15237 ELEVENTH ST STE AVictorville, CA 92395-3736
Mailing Address16465 Sierra Lakes Pkwy Ste 275Fontana, CA 92336-1263 · (909) 823-8000 · Fax (909) 823-8088
Phone(909) 823-8000
Fax(909) 823-8088
Organization SubpartNo
Authorized OfficialNamita MohideenOwner · (760) 662-7420
Enumeration DateJune 17, 2018
Last NPPES UpdateSeptember 29, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2022
✔ NPI 1497249155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
15237 ELEVENTH ST STE A, Victorville, CA 92395
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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

Other Providers at the Same Location NPPES 4

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

TARATHYA BUNGA DHARMASAPUTRA MD
Pediatrics
15237 ELEVENTH ST STE A
VICTORVILLE, CA 92395
San Bernardino County (760) 662-7420
MR. SIWEI JIANG FNP-C
Nurse Practitioner (Family)
15237 ELEVENTH ST STE A
VICTORVILLE, CA 92395
San Bernardino County (760) 662-7420
DR. RAY TOJINO BOBILA MD
Pediatrics
15237 ELEVENTH ST STE A
VICTORVILLE, CA 92395
San Bernardino County (760) 662-7420
MARCUS ANTHONY BARBER MD
Pediatrics
15237 ELEVENTH ST STE A
VICTORVILLE, CA 92395
San Bernardino County (909) 823-8000

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 Victorville Pediatrics's NPI number?

The NPI number for Victorville Pediatrics is 1497249155. It was assigned to this organization in the NPPES registry on June 17, 2018.

Where is Victorville Pediatrics located?

Victorville Pediatrics is located at 15237 Eleventh St Ste A, Victorville, CA 92395. The listed phone number is (909) 823-8000.

What is Victorville Pediatrics's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

When was this NPI record last updated?

The NPPES record for Victorville Pediatrics was last updated on September 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.