MALAIKA CLINKSCALES-GABASAN FNP-C
NPI 1760924963
Nurse Practitioner - Family in Victorville, CA

Q: What is Malaika Clinkscales-gabasan's NPI number?

The NPI number for Malaika Clinkscales-gabasan is 1760924963. It was assigned to this individual provider in the NPPES registry on November 6, 2016.

Q: What is Malaika Clinkscales-gabasan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since November 06, 2016PECOS Enrolled

17259 JASMINE ST STE B, VICTORVILLE, CA 92395(760) 241-4929 Get Directions Write a Review

NPPES record last updated: July 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 19, 2020, Nov 6, 2016 (2 updates tracked since 2016).

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About Malaika Clinkscales-gabasan Fnp-c NPPES

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

MALAIKA CLINKSCALES-GABASAN FNP-C (NPI 1760924963) is an individual family provider in Victorville, California, licensed in California (834455) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760924963

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMALAIKA CLINKSCALES-GABASANCredential: FNP-C

Location Address17259 JASMINE ST STE BVictorville, CA 92395-7787

Mailing Address10717 7th AveHesperia, CA 92345-2359 · (858) 342-6266

Phone(760) 241-4929

Sole ProprietorNo

Enumeration DateNovember 6, 2016

Last NPPES UpdateJuly 2, 20262 updates tracked since enumeration

NPPES CertifiedJuly 2, 2026

✔ NPI 1760924963 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 834455

17259 JASMINE ST STE B, Victorville, CA 92395

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Malaika Clinkscales-gabasan Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Malaika Clinkscales-gabasan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Venkat Devineni, MD, Inc

Same address

Medical Specialty

17259 JASMINE ST, SUITE B
Victorville, CA 92395

Reassigned Medicare billing, California enrollment
2 clinicians in this Medicare group

NPI 1619108164 (760) 951-7778

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92395 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

TEJAL DESAI, MD, INC.

Clinic/Center (Medical Specialty)