PERFORMANCE MEDICAL GROUP – NPI #1629314661
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

PERFORMANCE MEDICAL GROUP is a provider located in APPLE VALLEY, CA. NPPES has assigned the NPI number 1629314661 to PERFORMANCE MEDICAL GROUP on December 19, 2012. 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 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice. Keep in mind, having a taxonomy code selected doesn't replace any credentialing or validation process that may be required by law.

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 PERFORMANCE MEDICAL GROUP below.

NPI Profile for
PERFORMANCE MEDICAL GROUP

NPI Number
1629314661
Enumeration Date

(more than 13 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
PERFORMANCE MEDICAL GROUP
Primary location
16130 KOKANEE RD STE 101
APPLE VALLEY, CA 92307-0833
Phone: (760) 242-5055 Fax: (760) 242-5466
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
LEE FREIRE
OFFICE MANAGER
Phone: (760) 242-5055
Updated
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.

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.