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PERFORMANCE MEDICAL GROUP
NPI 1629314661
General Practice in Apple Valley, CA

Active since December 19, 2012
16130 KOKANEE RD STE 101, APPLE VALLEY, CA 92307(760) 242-5055(760) 242-5466 Get Directions Write a Review

NPPES record last updated: December 19, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Performance Medical Group NPPES

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

PERFORMANCE MEDICAL GROUP (NPI 1629314661) is a healthcare organization registered as a general practice in Apple Valley, California and active in the NPI registry since December 2012. The organization lists Lee Freire, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1629314661
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NamePERFORMANCE MEDICAL GROUP
Location Address16130 KOKANEE RD STE 101Apple Valley, CA 92307-0833
Mailing Address16130 Kokanee Rd Ste 101Apple Valley, CA 92307-0833 · (760) 242-5055 · Fax (760) 242-5466
Phone(760) 242-5055
Fax(760) 242-5466
Organization SubpartNo
Authorized OfficialLee FreireOffice Manager · (760) 242-5055
Enumeration DateDecember 19, 2012
✔ NPI 1629314661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 8

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedAcupuncturistTaxonomy 171100000X
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedOrthopaedic Surgery · Hand SurgeryTaxonomy 207XS0106X
Also ListedOrthopaedic Surgery · Foot and Ankle SurgeryTaxonomy 207XX0004X
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X
Also ListedPhysical TherapistTaxonomy 225100000X
16130 KOKANEE RD STE 101, Apple Valley, CA 92307
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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

Other Providers at the Same Location NPPES 2

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

MEDIMANAGEMENT LLC
Physical Medicine & Rehabilitation
16130 KOKANEE RD STE 101
APPLE VALLEY, CA 92307
San Bernardino County (805) 522-9274
GENESIS ADVANCED SERVICES III, LLC
Clinical Medical Laboratory
16130 KOKANEE RD STE 101
APPLE VALLEY, CA 92307
San Bernardino County (805) 416-1648

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 Performance Medical Group's NPI number?

The NPI number for Performance Medical Group is 1629314661. It was assigned to this organization in the NPPES registry on December 19, 2012.

Where is Performance Medical Group located?

Performance Medical Group is located at 16130 Kokanee Rd Ste 101, Apple Valley, CA 92307. The listed phone number is (760) 242-5055.

What is Performance Medical Group's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Performance Medical Group was last updated on December 19, 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.