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Deitra Pough
NPI 1770391104 · Peer Specialist · Barstow, CA
Deitra Pough is a Peer Specialist provider in Barstow, CA (NPI 1770391104).
Provider details
- NPI number
- 1770391104
- Entity type
- Individual
- Primary specialty
- Peer SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
Profile Score
Basic profile(49/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% 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
222 E Main St
Barstow, CA 92311-2361
Phone: (760) 255-1496
Street-level locationGet directions
Mailing address
12476 Deodar St
Victorville, CA 92392-4838
Registry dates
- Enumerated
- 2024-12-18
- Last updated
- 2025-11-19
- Certified
- 2025-11-19
Frequently asked questions
- What is Deitra Pough's NPI number?
- Deitra Pough's National Provider Identifier (NPI) is 1770391104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Deitra Pough's specialty?
- Deitra Pough is listed in the NPPES registry with a primary specialty of Peer Specialist (Other Service Providers).
- Where is Deitra Pough located?
- Deitra Pough's practice location on file with NPPES is 222 E Main St, Barstow, CA 92311-2361.
- What is Deitra Pough's phone number?
- The practice phone number listed in the NPPES registry for Deitra Pough is (760) 255-1496.
- Is Deitra Pough's NPI active?
- Yes — Deitra Pough's NPI (1770391104) is active in the NPPES registry as of the last update on 2025-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.