Impact Care Access Network Inc
NPI 1861858904 · Primary Care Clinic/Center · Hesperia, CA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Impact Care Access Network Inc is a Primary Care Clinic/Center organization in Hesperia, CA (NPI 1861858904).
Provider details
- NPI number
- 1861858904
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Philip Kouros, Medical Doctor(760) 948-4219
- License
- G69428 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
Mailing address
Registry dates
- Enumerated
- 2016-01-05
- Last updated
- 2016-01-05
Frequently asked questions
- What is Impact Care Access Network Inc's NPI number?
- Impact Care Access Network Inc's National Provider Identifier (NPI) is 1861858904, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Impact Care Access Network Inc?
- Impact Care Access Network Inc is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Impact Care Access Network Inc located?
- Impact Care Access Network Inc's practice location on file with NPPES is 9390 Hesperia Rd, Hesperia, CA 92345-3602.
- What is Impact Care Access Network Inc's phone number?
- The practice phone number listed in the NPPES registry for Impact Care Access Network Inc is (760) 998-2125.
- Does Impact Care Access Network Inc accept Medicare?
- Impact Care Access Network Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Impact Care Access Network Inc?
- The authorized official listed on Impact Care Access Network Inc's NPPES record is Philip Kouros, Medical Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Impact Care Access Network Inc's NPI active?
- Yes — Impact Care Access Network Inc's NPI (1861858904) is active in the NPPES registry as of the last update on 2016-01-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.