{"npi":"1639405004","type":"NPI-2","status":"active","name":{"display":"High Desert Family Medical Clinic","other":[],"organization_name":"HIGH DESERT FAMILY MEDICAL CLINIC","authorised_official":"Andre Kasko"},"specialty":{"primary_taxonomy":"207Q00000X","primary_taxonomy_description":"Family Medicine","slug":"family-medicine","schema_org_specialty":"PrimaryCare","all":[{"code":"207V00000X","description":"Obstetrics & Gynecology","primary":false,"state":null,"license":null},{"code":"207Q00000X","description":"Family Medicine","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"7350 CHURCH ST","city":"YUCCA VALLEY","state":"CA","postal_code":"922843246","country_code":"US","phone":"7603693069","fax":"7603693072"},{"purpose":"MAILING","street_1":"PO BOX 1220","city":"JOSHUA TREE","state":"CA","postal_code":"922520810","country_code":"US","phone":"7603693069","fax":"7603693072"}],"license":null,"identifiers":[{"type_code":"01","label":"Other","value":"553845","state":"CA","issuer":"MEDICARE IDENTIFICATION NUMBER"},{"type_code":"05","label":"Medicaid","value":"1867739","state":"CA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20091210000140","type_code":"00-17","type_desc":"PART A PROVIDER - RURAL HEALTH CLINIC","state":"CA","pac_id":"0648346007"}]},"enumeration_date":"2009-10-20","last_updated":"2024-12-23","_meta":{"source":"NPPES","snapshot_date":"2024-12-23","doc_url":"https://findmynpi.com/api"}}