This site republishes official CMS/Medicare Care Compare data. It is not medical advice and does not recommend any specific hospital or treatment — for medical decisions, talk to a doctor.
Doctors / CA
NURSE PRACTITIONER
Graduated: 2019
NPI: 1053945220
PROVIDENCE MEDICAL FOUNDATION
12550 HESPERIA RD, SUITE 100
VICTORVILLE, CA 923955873
7602416666
Source: CMS National Downloadable File, September 2026.