YUCCA VALLEY MEDICAL CLINIC
NPI 1952186322
Surgery - Pediatric Surgery in Yucca Valley, CA

Active since August 25, 2023
57370 29 PALMS HWY STE 203, YUCCA VALLEY, CA 92284(760) 369-8200 Get Directions Write a Review

NPPES record last updated: August 30, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 30, 2023, Aug 25, 2023 (2 updates tracked since 2023).

About Yucca Valley Medical Clinic NPPES

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

YUCCA VALLEY MEDICAL CLINIC (NPI 1952186322) is a healthcare organization registered as a pediatric surgery in Yucca Valley, California and active in the NPI registry since August 2023. The organization lists Heidi Horning, Credentialer, as its authorized official.

NPPES Registry Identity

NPI1952186322
Entity TypeOrganization
Primary Taxonomy2086S0120X
Legal Business NameYUCCA VALLEY MEDICAL CLINIC
Location Address57370 29 PALMS HWY STE 203Yucca Valley, CA 92284-2900
Mailing Address57370 29 Palms Hwy Ste 203Yucca Valley, CA 92284-2900
Organization SubpartNo
Authorized OfficialHeidi HorningCredentialer · (707) 299-7043
Enumeration DateAugust 25, 2023
Last NPPES UpdateAugust 30, 20232 updates tracked since enumeration
NPPES CertifiedAugust 30, 2023
✔ NPI 1952186322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedGeneral PracticeTaxonomy 208D00000X
57370 29 PALMS HWY STE 203, Yucca Valley, CA 92284

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Yucca Valley Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Yucca Valley Medical Clinic, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1043525587
57370 29 PALMS HWY STE 201
Yucca Valley, CA 92284
(760) 369-0069
✔ PECOS44 mi
Family Practice
NPI 1467423772
1919 E THOMAS RD
Phoenix, AZ 85016
(602) 933-1000
✔ PECOS✔ Accepts Medicare298 mi

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 Yucca Valley Medical Clinic's NPI number?

The NPI number for Yucca Valley Medical Clinic is 1952186322. It was assigned to this organization in the NPPES registry on August 25, 2023.

Where is Yucca Valley Medical Clinic located?

Yucca Valley Medical Clinic is located at 57370 29 Palms Hwy Ste 203, Yucca Valley, CA 92284. The listed phone number is (760) 369-8200.

What is Yucca Valley Medical Clinic's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Yucca Valley Medical Clinic enrolled in Medicare?

Yes. Yucca Valley Medical Clinic is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Yucca Valley Medical Clinic?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Yucca Valley Medical Clinic, in Family Practice and Nurse Practitioner. 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 Yucca Valley Medical Clinic was last updated on August 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.