MORONGO BASIN OB/GYN MEDICAL GROUP INC
NPI 1629392675
Obstetrics & Gynecology - Obstetrics in Joshua Tree, CA
- Organization
- Obstetrics & Gynecology
- Obstetrics
- CLIA Number: 05D1029798
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 08-23-2026
About MORONGO BASIN OB/GYN MEDICAL GROUP INC
This page provides the complete NPI Profile along with additional information for Morongo Basin Ob/gyn Medical Group Inc, a women's health care provider established in Joshua Tree, California operating as a Obstetrics & Gynecology, focusing in obstetrics . The healthcare provider is registered in the NPI registry with number 1629392675 assigned on March 2010. The practitioner's primary taxonomy code is 207VX0000X with license number 20A6300 (CA). The provider is registered as an organization and their NPI record was last updated 16 years ago. Morongo Basin Ob/gyn Medical Group Inc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Dr. Andre Martin Kasko D.o. (Ceo)
- NPI
- 1629392675 Verify this NPI
- Provider Name
- MORONGO BASIN OB/GYN MEDICAL GROUP INC
- Entity Type
- Organization
- Location Address
- 63532 29 PALMS HWY STE#D JOSHUA TREE, CA 92252
- Location Phone
- (760) 366-1800
- Location Fax
- (760) 366-2155
- Mailing Address
- PO BOX 1220 JOSHUA TREE, CA 92252
- Mailing Phone
- (760) 366-1800
- Mailing Fax
- (760) 366-2155
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-19-2010
- Last Update Date
- 03-19-2010
- Code Navigator
Women's health care providers like Morongo Basin Ob/gyn Medical Group Inc treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Obstetrics & Gynecology Obstetrics
- Taxonomy Code
- 207VX0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 20A6300
- License State
- CA
- Taxonomy Description
- A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions. Source: National Uniform Claim Committee
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207VG0400X | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | 20A6300 (CA) |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20A6300 | OTHER (01) | CA | MEDICAL LICENSE |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D1029798
- Facility Type
- Physician Office
- Certificate Effective Date
- August 24, 2024
- Certificate Expiration Date
- August 23, 2026
- Laboratory Director
- ANDRE M. KASKO
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Morongo Basin Ob/gyn Medical Group Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
Reviews for MORONGO BASIN OB/GYN MEDICAL GROUP INC
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Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
JOSHUA TREE, CA 92252
JOSHUA TREE, CA 92252
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1629392675, enumerated as an "organization" on March 19, 2010.
The provider is located at 63532 29 PALMS HWY STE#D JOSHUA TREE, CA 92252 and the phone number is (760) 366-1800.
Obstetrics & Gynecology with taxonomy code 207VX0000X and a focus in Obstetrics.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
