Performance Medical Group is a
General Practice based in Apple Valley, California. Performance Medical Group is licensed to practice in * (Not Available) (license number ) and their current practice location is
16130 Kokanee Rd Ste 101, Apple Valley, California. It can be reached at their office (for appointments etc.) via phone at
(760) 242-5055.
NPI number for Performance Medical Group is 1629314661 and their current mailing address is 16130 Kokanee Rd Ste 101, Apple Valley, California. Performance Medical Group
does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1629314661.
Healthcare Provider's Profile
| Full Name | Performance Medical Group |
|---|
| Type | Facility |
|---|
| Speciality | General Practice |
|---|
| Location | 16130 Kokanee Rd Ste 101, Apple Valley, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1629314661
- Provider Enumeration Date: 12/19/2012
- Last Update Date: 12/19/2012
Medical Identifiers
Medical identifiers for Performance Medical Group such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1629314661 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 171100000X | Acupuncturist | (* (Not Available)) | Secondary |
| 207LP2900X | Anesthesiology - Pain Medicine | (* (Not Available)) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Secondary |
| 207XS0106X | Orthopaedic Surgery - Hand Surgery | (* (Not Available)) | Secondary |
| 207XX0004X | Orthopaedic Surgery - Foot And Ankle Surgery | (* (Not Available)) | Secondary |
| 208100000X | Physical Medicine & Rehabilitation | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Performance Medical Group is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Performance Medical Group
16130 Kokanee Rd Ste 101,
Apple Valley, CA 92307-0833
Ph: (760) 242-5055 | Performance Medical Group
16130 Kokanee Rd Ste 101,
Apple Valley, CA 92307-0833
Ph: (760) 242-5055 |
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