OrganizationActive
High Desert Primary Care
NPI 1205021581 · Non-Pharmacy Dispensing Site · Victorville, CA
High Desert Primary Care is a Non-Pharmacy Dispensing Site organization in Victorville, CA (NPI 1205021581).
Provider details
- NPI number
- 1205021581
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Parent organization
- Medvantx, Inc.
- Organization subpart
- Yes
- Authorized official
- Kenny Heine, Director of Operations(858) 625-2990
- License
- A53356 (CA)
Specialties & taxonomies
Suppliers
Profile Score
Detailed profile(88/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12550 Hesperia Rd
Victorville, CA 92395-5873
Phone: (760) 241-6666
Street-level locationGet directions
Mailing address
5626 Oberlin Dr
San Diego, CA 92121-1705
Other names (DBA / former)
- Doing business as
- High Desert Primary Care - Victorville
Registry dates
- Enumerated
- 2007-09-11
- Last updated
- 2012-10-22
Frequently asked questions
- What is High Desert Primary Care's NPI number?
- High Desert Primary Care's National Provider Identifier (NPI) is 1205021581, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is High Desert Primary Care?
- High Desert Primary Care is classified in the NPPES registry as Non-Pharmacy Dispensing Site (Suppliers).
- Where is High Desert Primary Care located?
- High Desert Primary Care's practice location on file with NPPES is 12550 Hesperia Rd, Victorville, CA 92395-5873.
- What is High Desert Primary Care's phone number?
- The practice phone number listed in the NPPES registry for High Desert Primary Care is (760) 241-6666.
- Who is the authorized official for High Desert Primary Care?
- The authorized official listed on High Desert Primary Care's NPPES record is Kenny Heine, Director of Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is High Desert Primary Care's NPI active?
- Yes — High Desert Primary Care's NPI (1205021581) is active in the NPPES registry as of the last update on 2012-10-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.