ISAIAS RODOLFO VARGAS JR. CRNP
NPI 1992296545
Nurse Practitioner - Gerontology in Victorville, CA
About Isaias Rodolfo Vargas Jr. Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ISAIAS RODOLFO VARGAS JR. CRNP (NPI 1992296545) is an individual gerontology provider in Victorville, California, licensed in California (NP95011154) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Isaias Rodolfo Vargas Jr. Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Isaias Vargas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Victorville, CA 92395
- Reassigned Medicare billing, California enrollment
- 145 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VICTORVILLE, CA 92395
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 Isaias Vargas's NPI number?
The NPI number for Isaias Vargas is 1992296545. It was assigned to this individual provider in the NPPES registry on May 18, 2018.
Where is Isaias Vargas located?
Isaias Vargas practices at 16850 Bear Valley Rd, Victorville, CA 92395. The listed phone number is (760) 241-8000.
What is Isaias Vargas's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.
Is Isaias Vargas enrolled in Medicare?
Yes. Isaias Vargas is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Isaias Vargas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Isaias Vargas reassigns Medicare benefits to Desert Valley Medical Group, Inc. (Victorville, CA). The 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 Isaias Vargas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Isaias Vargas was last updated on June 20, 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.
# Isaias Rodolfo Vargas Jr., CRNP · NPI 1992296545
Gerontology physician in Victorville, California. Individual provider, active in the CMS NPPES registry since May 18, 2018.
## Identity
- **NPI:** 1992296545 (Entity type: Individual)
- **Enumerated:** May 18, 2018
- **Primary specialty:** Nurse Practitioner - Gerontology · taxonomy 363LG0600X
- **State license:** NP95011154 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 16850 BEAR VALLEY RD, Victorville, CA 92395-5795
- **Phone:** (760) 241-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Desert Valley Medical Group, Inc. (NPI 1801848452, Victorville, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1992296545) · Data from the CMS NPPES public registry.