PREMIER HEALTH PARTNERS (NPI# 1962867754) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962867754 |
| Entity Type | Organization |
| Organization Name | PREMIER HEALTH PARTNERS |
| Practice Address |
15248 11th St Victorville CA 92395-3704 |
| Practice Telephone | 7608436099 |
| Enumeration Date | 2015-12-21 |
| Last Update Date | 2015-12-21 |
| Authorized Official Name | DR. ANTHONY CARDILLO (PRESIDENT) |
| Authorized Official Telephone | 3104882830 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A82516 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609231497 | Premier Health Partners | Emergency Medicine | 2601 E Chapman Ave, Orange, CA 92869-3206 | 2015-12-21 |
| 1609170232 | Premier Health Partners | Emergency Medicine | 250 N 1st St, Blythe, CA 92225-1702 | 2010-12-22 |
| Street Address |
15248 11TH ST |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-3704 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538143029 | Maria Concepcion Rabe | Anesthesiology | 15248 11th St, Victorville, CA 92395-3704 | 2005-11-30 |
| 1679879589 | Victor Valley Hospital Acquisition, Inc. | General Acute Care Hospital | 15248 11th St, Victorville, CA 92395-3704 | 2011-02-10 |
| 1740507342 | Rahul Nayyar | Radiology | 15248 11th St, Victorville, CA 92395-3704 | 2010-04-23 |
| 1184878167 | Reda M Tadros Md Inc | Pathology | 15248 11th St, Victorville, CA 92395-3704 | 2008-11-04 |
| 1114174778 | Arcadia Pathology Medical Group | Pathology | 15248 11th St, Victorville, CA 92395-3704 | 2008-08-25 |
| 1396959516 | Victor Valley Community Hospital | General Acute Care Hospital | 15248 11th St, Victorville, CA 92395-3704 | 2007-05-09 |
| 1619191079 | Victor Valley Community Hospital | General Acute Care Hospital | 15248 11th St, Victorville, CA 92395-3704 | 2007-04-13 |
| 1225154818 | Stephen E. Hiller, M.d. A Medical Corporation | Emergency Medicine | 15248 11th St, Victorville, CA 92395-3704 | 2007-03-22 |
| 1164547972 | Lydia Cruz | Anesthesiology | 15248 11th St, Victorville, CA 92395-3704 | 2007-03-20 |
| 1275674517 | Desert Vista Anesthesiology Medical Group, Inc. | Anesthesiology | 15248 11th St, Victorville, CA 92395-3704 | 2007-02-09 |
| Find all providers in the same location | ||||
| 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 | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114381530 | Alexander Cruise | Emergency Medicine | 16850 Bear Valley Rd, Victorville, CA 92395-5794 | 2016-04-12 |
| 1881934503 | Travis Dean Inglis | Emergency Medicine | 12550 Hesperia Rd, Suite 100, Victorville, CA 92395-5873 | 2013-02-15 |
| 1417224007 | Victor Valley Emergency Medical Associates, Inc. | Emergency Medicine | 15248 Eleventh St, Victorville, CA 92395-3704 | 2011-11-26 |
| 1225154818 | Stephen E. Hiller, M.d. A Medical Corporation | Emergency Medicine | 15248 11th St, Victorville, CA 92395-3704 | 2007-03-22 |
| 1285780197 | Raafat Wassef | Emergency Medicine | 16850 Bear Valley Rd, Victorville, CA 92395-5794 | 2007-01-25 |
| 1578619649 | Aurilla N Rush | Emergency Medicine | 16850 Bear Valley Rd, Victorville, CA 92395-5794 | 2007-01-25 |
| 1417040775 | Rodrigo F. Rojas | Emergency Medicine | 15248 Eleventh St, Victorville, CA 92395-3704 | 2006-10-01 |
| 1972540508 | Richard G. Whitehurst IIi | Emergency Medicine | 15248 11th St, Emergency Department, Victorville, CA 92395-3704 | 2006-06-01 |
| 1912956319 | Rene D. Loya | Emergency Medicine | 15248 11th St, Emergency Department, Victorville, CA 92395-3704 | 2006-05-10 |
| 1649229816 | Michael R. Blum | Emergency Medicine | 15248 11th St, Emergency Department, Victorville, CA 92395-3704 | 2006-05-08 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
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| 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.