MORONGO BASIN OB/GYN NPI 1992705370

NPI Information

  • NPI: 1992705370
  • Provider Name: MORONGO BASIN OB/GYN
  • Classification: Obstetrics & Gynecology - 207VC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Organization
  • Former Legal Business Name: DR. ANDRE KASKO
  • CLIA Number: 05D1029261
  • Address: 57445 29 PALMS HWY
    STE 301
    YUCCA VALLEY, CA
    ZIP 92284
  • Phone: (760) 365-2800

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NPI Details

MORONGO BASIN OB/GYN is a critical care medicine obstetrics gynecology in Yucca Valley, CA. The provider is an obstetrician/gynecologist, who specializes in critical care medicine diagnoses, treats and supports female patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. MORONGO BASIN OB/GYN NPI is 1992705370. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Dr. Andre Kasko.

The provider's business location address is:

57445 29 PALMS HWY
STE 301
YUCCA VALLEY, CA
ZIP 92284-947
Phone: (760) 365-2800
Fax: (760) 365-1406

The provider's authorized official is Andre M Kasko .
The authorized official title is Ceo and has the following contact phone number (760) 365-2800.

The CLIA number assigned to this NPI record is 05D1029261 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2005 and was last updated on 3/12/2010.

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
1207VC0200XObstetrics & GynecologyCritical Care Medicine20A6300CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1F41038MEDICARE UPIN
200AX63000MEDICAIDCALIFORNIA
3222321072MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

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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