RODOMELLE C MUNGCAL (NPI# 1669702023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669702023 |
| Entity Type | Individual |
| Full Name | RODOMELLE C MUNGCAL |
| Credential | M.D. |
| Practice Address |
13010 Hesperia Rd Ste 300 Victorville CA 92395-8315 |
| Mailing Address |
18564 Us Highway 18 Ste 105 Apple Valley CA 92307-2320 |
| Practice Telephone | 7608437813 |
| Practice Fax Number | 7608437831 |
| Mailing Telephone | 7602427777 |
| Mailing Fax Number | 7602422658 |
| Enumeration Date | 2010-01-07 |
| Last Update Date | 2012-12-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A110662 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
13010 HESPERIA RD STE 300 |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-8315 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194285700 | Pacific Family Medical Inc | Family Medicine | 12384 Palmdale Rd Ste 104, Victorville, CA 92392-8506 | 2019-03-20 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1427327766 | Khatereh A Assadi | Family Medicine | 12370 Hesperia Rd Ste 13, Victorville, CA 92395-5808 | 2011-12-15 |
| 1780975839 | Shima Hadidchi | Family Medicine | 12740 Hesperia Rd Ste A, Victorville, CA 92395-8306 | 2011-04-25 |
| 1265661953 | Hossein M Ebneshahidi | Family Medicine | 12370 Hesperia Rd Ste B, Victorville, CA 92395-7719 | 2009-07-02 |
| 1073710489 | Kimberly Anne Bekemeier | Family Medicine | 13010 Hesperia Rd, Suite 600, Victorville, CA 92395-5837 | 2007-06-29 |
| 1821201013 | Alireza Raboubi | Family Medicine | 12408 Hesperia Rd Ste 1, Victorville, CA 92395-4786 | 2007-05-07 |
| 1588781892 | Craig R Mueller Md Inc | Family Medicine | 18535 Niagara Drive, Victorville, CA 92395-5180 | 2007-03-23 |
| 1598833303 | Charmaine Elizabeth Earle | Family Medicine | 12984 Hesperia Rd Ste 101, Victorville, CA 92395-5819 | 2006-12-01 |
| 1245333830 | Shiloh Medical Center Inc | Family Medicine | 12332 Hesperia Rd, Ste A, Victorville, CA 92395 | 2006-09-07 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
Please comment or provide details below to improve the information on RODOMELLE C MUNGCAL.
| 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.