WESTSIDE PREMIER MED GRP NPI 1376680124

NPI Information

  • NPI: 1376680124
  • Provider Name: WESTSIDE PREMIER MED GRP
  • Classification: Chiropractor - 111N00000X
  • Entity Type: Organization
  • Address: 17330 BEAR VALLEY RD STE 105
    VICTORVILLE, CA
    ZIP 92395
  • Phone: (760) 245-8182

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NPI Details

WESTSIDE PREMIER MED GRP is a chiropractor in Victorville, CA. The provider is a provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. WESTSIDE PREMIER MED GRP NPI is 1376680124. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

17330 BEAR VALLEY RD STE 105
VICTORVILLE, CA
ZIP 92395
Phone: (760) 245-8182
Fax: (760) 245-2123

The provider's authorized official is Kim Ammerman .
The authorized official title is Administrator and has the following contact phone number (760) 949-1489.

The enumeration date for this NPI number is 1/31/2007 and was last updated on 9/11/2025.

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
1111N00000XChiropractorDC21523CALIFORNIANo
2207X00000XOrthopaedic SurgeryA36514CALIFORNIANo
3111N00000XChiropractorDC27666CALIFORNIAYes

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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