IMPACT CARE ACCESS NETWORK INC
NPI 1861858904
Clinic/Center - Primary Care in Hesperia, CA
About Impact Care Access Network Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
IMPACT CARE ACCESS NETWORK INC (NPI 1861858904) is a healthcare organization registered as a primary care in Hesperia, California and active in the NPI registry since January 2016. The organization lists Philip Dimitrios Kouros, Medical Doctor, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Impact Care Access Network Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Impact Care Access Network Inc, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Impact Care Access Network Inc's NPI number?
The NPI number for Impact Care Access Network Inc is 1861858904. It was assigned to this organization in the NPPES registry on January 5, 2016.
Where is Impact Care Access Network Inc located?
Impact Care Access Network Inc is located at 9390 Hesperia Rd Suite # 7, Hesperia, CA 92345. The listed phone number is (760) 998-2125.
What is Impact Care Access Network Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Impact Care Access Network Inc enrolled in Medicare?
Yes. Impact Care Access Network Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Impact Care Access Network Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Impact Care Access Network Inc, in Family Practice and Podiatry. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Impact Care Access Network Inc was last updated on January 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Impact Care Access Network Inc · NPI 1861858904
Primary Care organization in Hesperia, California. Organization record, active in the CMS NPPES registry since January 5, 2016.
## Identity
- **NPI:** 1861858904 (Entity type: Organization)
- **Enumerated:** January 5, 2016
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Philip Kouros, MEDICAL DOCTOR
## Practice location
- **Address:** 9390 HESPERIA RD, SUITE # 7, Hesperia, CA 92345-3602
- **Phone:** (760) 998-2125 · **Fax:** (760) 948-0723
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (2), Podiatry (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 5, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1861858904) · Data from the CMS NPPES public registry.