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BEAR VALLEY CLINICA FAMILIAR INC NPI 1710135900


NPI Information

NPI: 1710135900
Provider Name: BEAR VALLEY CLINICA FAMILIAR, INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D1082748

Address:
15532 BEAR VALLEY RD
VICTORVILLE, CA
ZIP 92395
Phone: (760) 245-5959
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BEAR VALLEY CLINICA FAMILIAR, INC is a family medicine in Victorville, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BEAR VALLEY CLINICA FAMILIAR, INC NPI is 1710135900. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

15532 BEAR VALLEY RD
VICTORVILLE, CA
ZIP 92395-260
Phone: (760) 245-5959

The provider's authorized official is Francisco A Jimenez .
The authorized official title is President and has the following contact phone number (760) 245-5959.

The CLIA number assigned to this NPI record is 05D1082748 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/3/2008 and was last updated on 9/3/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1213E00000XPodiatrist3702CALIFORNIANo
2207Q00000XFamily MedicineA40305CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1U00875MEDICARE UPINCALIFORNIA
2E50611MEDICARE UPINCALIFORNIA

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: 11/14/2023

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