MORONGO BASIN OB/GYN MEDICAL GROUP INC (NPI# 1629392675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629392675 |
| Entity Type | Organization |
| Organization Name | MORONGO BASIN OB/GYN MEDICAL GROUP INC |
| Practice Address |
63532 29 Palms Hwy Ste#d Joshua Tree CA 92252-0810 |
| Mailing Address |
Po Box 1220 Joshua Tree CA 92252-0810 |
| Practice Telephone | 7603661800 |
| Practice Fax Number | 7603662155 |
| Mailing Telephone | 7603661800 |
| Mailing Fax Number | 7603662155 |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2010-03-19 |
| Authorized Official Name | DR. ANDRE MARTIN KASKO (CEO) |
| Authorized Official Telephone | 7603661800 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
20A6300 | CA | Allopathic & Osteopathic Physicians |
| Y | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
20A6300 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL LICENSE | 20A6300 | 01 |
| Street Address |
63532 29 PALMS HWY STE#D |
| City | JOSHUA TREE |
| State | CA |
| Zip Code | 92252-0810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073626503 | Surender Vuthoori Md Inc | Internal Medicine | 63532 29 Palms Hwy, #a, Joshua Tree, CA 92252 | 2006-08-17 |
| 1255511630 | Family Health Center of Joshua Tree Incorporated | Family Medicine | 63532 29 Palms Hwy, Ste C, Joshua Tree, CA 92252-0810 | 2007-11-14 |
| 1437297298 | Surender Vuthoori | Internal Medicine | 63532 29 Palms Hwy, Ste A, Joshua Tree, CA 92252 | 2007-02-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609405992 | Micheline Helou | Nurse Practitioner | 63532 Twentynine Palms Highway, Joshua Tree, CA 92252 | 2020-04-07 |
| 1821558164 | Lisa Brown | Nurse Practitioner | 63532 29 Palms Hwy., Suite C, Joshua Tree, CA 92252 | 2019-03-22 |
| 1861990053 | Candice Amber Packard | Marriage & Family Therapist | 60805 29 Palms Hwy, Joshua Tree, CA 92252 | 2018-01-23 |
| 1194195529 | Jacob Edward Sanchez | Counselor | 60805 Twentynine Palms Hwy., Joshua Tree, CA 92252 | 2015-09-28 |
| 1023404357 | American Health Services LLC | Substance Abuse Rehabilitation Facility | 65675 Sullivan Rd., Joshua Tree, CA 92252 | 2015-04-14 |
| 1699940486 | Lee, Wee &baek. Dds. Inc | Clinic/Center | 61325 29palms Hwy.ste.a, Joshua Tree, CA 92252 | 2008-04-23 |
| 1447420690 | County of San Bernardino | Public Health or Welfare | 63532 29 Palms Highway, Suite D, Joshua Tree, CA 92252 | 2008-03-04 |
| 1861671679 | Lisa L Surace | Marriage & Family Therapist | 63532 Twentynine Palms Hwy, Suite C, Joshua Tree, CA 92252 | 2007-10-29 |
| 1821285271 | Morongo Basin Mental Health Services Ass., Inc | Substance Abuse Rehabilitation Facility | 65675 Sullivan Rd, Joshua Tree, CA 92252 | 2007-10-01 |
| 1295872067 | Angel View Crippled Childrens Foundation Inc | Intermediate Care Facility, Mentally Retarded | 60950 Sunburst, Joshua Tree, CA 92252 | 2007-01-31 |
| Find all providers in zip 92252 | ||||
| Taxonomy Code | 207VX0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Obstetrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437757705 | Michelle Uaje, Md PC | Obstetrics & Gynecology | 21810 Heatheridge Dr, Yorba Linda, CA 92887-2612 | 2020-10-09 |
| 1811559560 | Ob Hospitalists of Orange County Inc | Obstetrics & Gynecology | 1310 W Stewart Dr Ste 307, Orange, CA 92868-3838 | 2019-07-02 |
| 1912563735 | Sarah Lavonne Miller | Obstetrics & Gynecology | 144 N Kenmore Ave Apt 1, Los Angeles, CA 90004-6274 | 2019-05-16 |
| 1174007421 | Amal A Malek | Obstetrics & Gynecology | 47 Seabrook Cv, Newport Beach, CA 92660-6232 | 2018-09-22 |
| 1093223901 | Daniel M. Villarosa, M.d., A Professional Corporation | Obstetrics & Gynecology | 18064 Wika Rd Ste 102, Apple Valley, CA 92307-2182 | 2018-01-12 |
| 1316455363 | Yasharpour Medical Doctor, Inc., A Professional Medical Corporation | Obstetrics & Gynecology | 7400 Van Nuys Blvd Ste 120, Van Nuys, CA 91405-1972 | 2018-01-11 |
| 1821503863 | Healthcare Solutions Usa, Inc. | Obstetrics & Gynecology | 16253 Laguna Canyon Rd Ste 100, Irvine, CA 92618-3610 | 2017-12-13 |
| 1588176572 | Haiping Wang, M.d. | Obstetrics & Gynecology | 123 N Garfield Ave Ste D, Alhambra, CA 91801-3564 | 2017-10-30 |
| 1467977637 | Richard Norman Christie | Obstetrics & Gynecology | 501 Washington St Ste 725, San Diego, CA 92103-2241 | 2017-08-09 |
| 1386170355 | Andrew Peter Lin Md A Professional Medical Corporation | Obstetrics & Gynecology | 30 Via Milpitas, Carmel Valley, CA 93924-9630 | 2017-05-11 |
| Find all providers with the same taxonomy | ||||
| City | JOSHUA TREE |
| Zip Code | 92252 |
Please comment or provide details below to improve the information on MORONGO BASIN OB/GYN MEDICAL GROUP INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.