LLPMG APPLE VALLEY NPI 1114840816

NPI Information

  • NPI: 1114840816
  • Provider Name: LLPMG APPLE VALLEY
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Organization
  • Address: 18522 US HIGHWAY 18 STE 206
    APPLE VALLEY, CA
    ZIP 92307
  • Phone: (760) 946-4664

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NPI Details

LLPMG APPLE VALLEY is a psychiatric/mental health nurse practitioner in Apple Valley, CA. LLPMG APPLE VALLEY NPI is 1114840816. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

18522 US HIGHWAY 18 STE 206
APPLE VALLEY, CA
ZIP 92307-321
Phone: (760) 946-4664

The provider's authorized official is Liberty Olive Macias .
The authorized official title is Ceo and has the following contact phone number (909) 900-6465.

The enumeration date for this NPI number is 7/31/2026 and was last updated on 7/31/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologistNo
2104100000XSocial WorkerNo
3106H00000XMarriage & Family TherapistNo
42084P0800XPsychiatry & NeurologyPsychiatryNo
5363LP0808XNurse PractitionerPsychiatric/Mental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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