NPI

Performance Medical Group

Phone (760) 242-5055 · Fax (760) 242-5466 · NPI 1629314661

Read from the NPPES registry on October 24, 2026.

Facts

Status
Active
Type
Organization
Enumeration date
2012-12-19
Last updated
2012-12-19

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Specialties

Licenses

The registry row did not include a license.

Location

Practice location
16130 Kokanee Rd Ste 101
City
Apple Valley CA
Postal code
92307-0833
Phone
(760) 242-5055
Fax
(760) 242-5466

Organization contact

Name
Lee Freire
Title
office manager
Phone
(760) 242-5055

Medicare

PECOS
No PECOS enrollment row matched this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.

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Nearby

General Practitioners in Apple Valley, CA. 10 with this primary taxonomy in the public file.

Other NPIs in Apple Valley, CA. 2,019 records in the public file.

Public data from NPPES and CMS. Not a credentialing determination.

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