HIGH DESERT SPECIALTY GROUP (NPI# 1134475395) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134475395 |
Entity Type | Organization |
Organization Name | HIGH DESERT SPECIALTY GROUP |
Other Organization Name | HIGH DESERT FOOT & ANKLE CARE |
Practice Address |
19333 Bear Valley Rd Suite 101 Apple Valley CA 92308-5148 |
Mailing Address |
17095 Main St Hesperia CA 92345-6004 |
Practice Telephone | 7602406749 |
Practice Fax Number | 7609564156 |
Mailing Telephone | 7609564133 |
Mailing Fax Number | 7609569297 |
Enumeration Date | 2012-07-25 |
Last Update Date | 2012-07-25 |
Authorized Official Name | ZIAD R EL-HAJJAOUI (MEDICAL DIRECTOR) |
Authorized Official Telephone | 7602416666 |
Authorized Official Credential | M.D |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers |
Other Name | Type Code |
---|---|
High Desert Foot & Ankle Care | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720335359 | High Desert Specialty Group | Optometrist | 17059 Main St, Hesperia, CA 92345-6067 | 2012-08-14 |
1124374889 | High Desert Specialty Group | Internal Medicine | 17077 Main St, Hesperia, CA 92345-6071 | 2012-07-31 |
1417204215 | High Desert Specialty Group | Physical Medicine & Rehabilitation | 17061 Main St, Hesperia, CA 92345-6067 | 2012-08-10 |
1730435496 | High Desert Specialty Group | Internal Medicine | 18031 Us Highway 18, Suite B, Apple Valley, CA 92307-2152 | 2012-07-31 |
1164738522 | High Desert Specialty Group | Specialist | 12550 Hesperia Rd, Suite 100, Victorville, CA 92395-5873 | 2010-08-24 |
Street Address |
19333 BEAR VALLEY RD SUITE 101 |
City | APPLE VALLEY |
State | CA |
Zip Code | 92308-5148 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154392116 | Vikram S Parmar | Orthopaedic Surgery | 19333 Bear Valley Rd, Suite 104, Apple Valley, CA 92308-5148 | 2006-01-30 |
1578982823 | Leonardo Moqattash | Internal Medicine | 19333 Bear Valley Rd, Apple Valley, CA 92308-5148 | 2014-04-15 |
1619224243 | High Desert Primary Care | Internal Medicine | 19333 Bear Valley Rd, 101, Apple Valley, CA 92308-5148 | 2012-08-14 |
1487950408 | St Jude Hospital Yorba Linda | Durable Medical Equipment & Medical Supplies | 19333 Bear Valley Rd, Suite 104, Apple Valley, CA 92308-5148 | 2011-02-09 |
1053616706 | St Joseph Heritage Healthcare | Durable Medical Equipment & Medical Supplies | 19333 Bear Valley Rd, Suite 106, Apple Valley, CA 92308-5148 | 2011-01-11 |
1942529482 | High Desert Primary Care Medical Group | Non-Pharmacy Dispensing Site | 19333 Bear Valley Rd, 101, Apple Valley, CA 92308-5148 | 2010-05-24 |
1134456627 | Female Pelvic Medicine and Reconstructive Surgery of The High Desert | Urology | 19333 Bear Valley Rd, Suite 106, Apple Valley, CA 92308-5148 | 2009-11-04 |
1134366180 | Yolanda M Burnett-battle | Nurse Practitioner | 19333 Bear Valley Rd, Suite 201, Apple Valley, CA 92308-5148 | 2009-01-13 |
1932398526 | Sunny Chi Fung Cheung | Orthopaedic Surgery | 19333 Bear Valley Rd, Suite 104, Apple Valley, CA 92308-5148 | 2007-10-18 |
1629260948 | Moses Takeshi Mukai Jr. | Obstetrics & Gynecology | 19333 Bear Valley Rd, Suite 106, Apple Valley, CA 92308-5148 | 2007-08-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144831850 | Lisa K Frandsen | Behavioral Analyst | 19794 Poppy Rd, Apple Valley, CA 92308 | 2020-08-14 |
1518484195 | Jennifer Redwine | Behavioral Analyst | 1905 Business Center Drive South, Unit 100, San Bernardino, CA 92308 | 2017-08-24 |
1508397100 | West Care Transportation | Non-emergency Medical Transport (VAN) | 15480 Straight Arrow Rd #b, Apple Valley, CA 92308 | 2017-03-24 |
1811346497 | E Kim Dental Corp | Dentist | 21580 Bear Valley Rd., Ste B2-2, Apple Valley, CA 92308 | 2016-06-06 |
1134575376 | Seth Owuor | Pharmacist | 14426 Palmdale Road, Victorville, CA 92308 | 2016-05-06 |
1043608763 | Kamal Ebadpour | Adult Companion | 13224 Iroquois Road, Apple Valley, CA 92308 | 2015-01-05 |
1487099669 | Hateem Siddiqui | Internal Medicine | 19059 Bear Valley Rd # 3, Apple Valley, CA 92308 | 2013-05-01 |
1225305618 | Edward N. Sianipar | Nurse Practitioner | 19059 Bear Valley Rd., #1, Apple Valley, CA 92308 | 2011-11-29 |
1043508559 | Southern California Primary Medical Inc | Clinic/Center | 19341 Bear Valley Rd Ste 101, Apple Valley, CA 92308 | 2011-07-18 |
1396070959 | Asghar Ali Rajani | Registered Nurse | 19059 Bear Valley Road, Apple Valley, CA 92308 | 2009-10-14 |
Find all providers in zip 92308 |
Taxonomy Code | 213ES0103X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
Specialization | Foot & Ankle Surgery |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114528726 | Millennium Foot and Ankle Institute PC | Podiatrist | 26235 Ravenhill Rd, Santa Clarita, CA 91387-4046 | 2020-11-02 |
1861008054 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 5471 La Palma Ave Ste 106, La Palma, CA 90623-1792 | 2020-09-22 |
1174139356 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 4911 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1746 | 2020-09-22 |
1093327231 | Upperline Healthcare California PC | Podiatrist | 2131 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2020-08-19 |
1841815545 | Kenny Au Quach | Podiatrist | 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 | 2020-06-09 |
1417579129 | Central California Leg, Foot, and Ankle Center, Inc. | Podiatrist | 11325 Park Square Dr Apt D204, Bakersfield, CA 93311-8854 | 2020-05-15 |
1487282109 | Laura Y Lee, Dpm Inc | Podiatrist | 5525 Forestwood Dr, Sacramento, CA 95842-2128 | 2020-03-29 |
1780211458 | Dupontdpm Inc. | Podiatrist | 651 1st St W Ste C, Sonoma, CA 95476-7046 | 2020-03-24 |
1659903722 | Bay Area Foot Care, Inc | Podiatrist | 5924 Stoneridge Dr Ste 102, Pleasanton, CA 94588-2750 | 2020-02-06 |
1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
Find all providers with the same taxonomy |
City | APPLE VALLEY |
Zip Code | 92308 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.