Provider Demographics
NPI:1669833562
Name:ASSESS MEDICAL GROUP, INC.
Entity Type:Organization
Organization Name:ASSESS MEDICAL GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:V
Authorized Official - Last Name:RILEY
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:760-998-4040
Mailing Address - Street 1:10752 OAKWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:HESPERIA
Mailing Address - State:CA
Mailing Address - Zip Code:92345-2452
Mailing Address - Country:US
Mailing Address - Phone:760-998-4040
Mailing Address - Fax:760-956-2805
Practice Address - Street 1:10752 OAKWOOD AVE
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-2452
Practice Address - Country:US
Practice Address - Phone:760-998-4040
Practice Address - Fax:760-956-2805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-19
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA363A00000X, 363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary CareGroup - Single Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Single Specialty