MORONGO BASIN OB/GYN MEDICAL GROUP INC
NPI 1629392675
Obstetrics & Gynecology - Obstetrics in Joshua Tree, CA

Q: What is Morongo Basin Ob/Gyn Medical Group Inc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Active since March 19, 2010CLIA 05D1029798 · Waiver

63532 29 PALMS HWY, STE#D, JOSHUA TREE, CA 92252(760) 366-1800(760) 366-2155 Get Directions Write a Review

NPPES record last updated: March 19, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Morongo Basin Ob/gyn Medical Group Inc NPPES

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

MORONGO BASIN OB/GYN MEDICAL GROUP INC (NPI 1629392675) is a healthcare organization registered as an obstetrics in Joshua Tree, California and active in the NPI registry since March 2010. The organization holds a CLIA Waiver certificate valid through August 23, 2026 and lists Andre Martin Kasko, Ceo, as its authorized official.

NPPES Registry Identity

NPI1629392675

Entity TypeOrganization

Primary Taxonomy207VX0000X

Legal Business NameMORONGO BASIN OB/GYN MEDICAL GROUP INC

Location Address63532 29 PALMS HWY, STE#DJoshua Tree, CA 92252-0810

Mailing AddressPo Box 1220Joshua Tree, CA 92252-0810 · (760) 366-1800 · Fax (760) 366-2155

Phone(760) 366-1800

Fax(760) 366-2155

Organization SubpartNo

Authorized OfficialAndre Martin KaskoCeo · (760) 366-1800

Enumeration DateMarch 19, 2010

✔ NPI 1629392675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · ObstetricsAllopathic & Osteopathic Physicians

Taxonomy Code207VX0000X

License✔ Licensed in CA · 20A6300

Definition

A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee

Also ListedObstetrics & Gynecology · GynecologyTaxonomy 207VG0400X · License 20A6300 (CA)

63532 29 PALMS HWY, Joshua Tree, CA 92252

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Other Identifiers 1

Other20A6300CA · Medical License

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 05D1029798

Morongo Basin Ob/Gyn Physicians Med Group, Inc · Joshua Tree, CA

Active · expires Aug 23, 2026

CLIA Number05D1029798

Laboratory TypePhysician Office

Certificate Effective DateAugust 24, 2024

Certificate Expiration DateAugust 23, 2026

Laboratory DirectorAndre M. Kasko

Laboratory Phone(760) 366-1800

Laboratory LocationMorongo Basin Ob/Gyn Physicians Med Group, Inc63532 29 Palms Hwy, Suite D, Joshua Tree, CA 92252

CLIA data matches this NPI record on: Address Phone

This certificate is issued to a laboratory to perform only waived tests.

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.

SURENDER VUTHOORI MD INC

Internal Medicine (Cardiovascular Disease)

63532 29 PALMS HWY, #A
JOSHUA TREE, CA 92252

San Bernardino County (760) 366-8491

SURENDER VUTHOORI MD

Internal Medicine (Cardiovascular Disease)

63532 29 PALMS HWY, STE A
JOSHUA TREE, CA 92252

San Bernardino County (760) 366-8491

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 Morongo Basin Ob/Gyn Medical Group Inc's NPI number?

The NPI number for Morongo Basin Ob/Gyn Medical Group Inc is 1629392675. It was assigned to this organization in the NPPES registry on March 19, 2010.

Where is Morongo Basin Ob/Gyn Medical Group Inc located?

Morongo Basin Ob/Gyn Medical Group Inc is located at 63532 29 Palms Hwy Ste#d, Joshua Tree, CA 92252. The listed phone number is (760) 366-1800.

What is Morongo Basin Ob/Gyn Medical Group Inc's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Obstetrics, with taxonomy code 207VX0000X.

Does Morongo Basin Ob/Gyn Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1029798) is associated with this NPI, valid through August 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Morongo Basin Ob/Gyn Medical Group Inc was last updated on March 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.