MORONGO BASIN OB/GYN MEDICAL GROUP INC – NPI #1629392675
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with obstetric conditions.

MORONGO BASIN OB/GYN MEDICAL GROUP INC is a provider located in JOSHUA TREE, CA. NPPES has assigned the NPI number 1629392675 to MORONGO BASIN OB/GYN MEDICAL GROUP INC on March 19, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207VX0000X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Obstetrics

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MORONGO BASIN OB/GYN MEDICAL GROUP INC below.

NPI Profile for
MORONGO BASIN OB/GYN MEDICAL GROUP INC

NPI Number
1629392675
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MORONGO BASIN OB/GYN MEDICAL GROUP INC
Primary location
63532 29 PALMS HWY
STE#D
JOSHUA TREE, CA 92252-0810
Phone: (760) 366-1800 Fax: (760) 366-2155
Mailing address
PO BOX 1220
JOSHUA TREE, CA 92252-0810
Phone: (760) 366-1800 Fax: (760) 366-2155
Organization Subpart
No
Authorized Official
ANDRE KASKO
CEO
Phone: (760) 366-1800
Updated
Identifiers

Identifiers for MORONGO BASIN OB/GYN MEDICAL GROUP INC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERMEDICAL LICENSECA20A6300
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VX0000X
- Obstetrics & Gynecology / Obstetrics (Primary)
CA 20A6300
207VG0400X
- Obstetrics & Gynecology / Gynecology
CA 20A6300

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.