HI-DESERT MEDICAL CENTER


Address: 6601 White Feather Rd, Joshua Tree, CA 92252-6607
Phone: 7603666355

HI-DESERT MEDICAL CENTER (NPI# 1477683951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1477683951
Entity Type Organization
Organization Name HI-DESERT MEDICAL CENTER
Other Organization Name HI DESERT RADIOLOGY PHYSICIAN
Practice Address 6601 White Feather Rd
Joshua Tree
CA 92252-6607
Mailing Address 43500 Ridge Park Dr
#102
Temecula
CA 92590-3624
Practice Telephone 7603666355
Practice Fax Number 7603666364
Mailing Telephone 9516990303
Mailing Fax Number 9516990603
Enumeration Date 2007-03-06
Last Update Date 2008-06-25
Authorized Official Name MR. THOMAS DUDA (CFO)
Authorized Official Telephone 7603666421
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0200X Clinic/Center
Specialization: Radiology
240000231 CA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
CA BLUE SHIELD ZZZ35026Z 01
CA GR0095320 05
CA MEDICAL BOARD FICTITIOUS FNP31524 01

Other Provider/Organization Names

Other Name Type Code
Hi Desert Radiology Physician Doing Business As Name - Organization

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities HI-DESERT MEDICAL CENTER 6530 Lacontenpa Rd Ste 100, Yucca Valley, CA 92284-7313

Office Location

Street Address 6601 WHITE FEATHER RD
City JOSHUA TREE
State CA
Zip Code 92252-6607

Providers in the same location

NPI Name Taxonomy Address Enumeration
1578557054 William Stephen Bush, M.d., A Medical Corporation Pathology 6601 White Feather Rd, Dept of Pathology, Joshua Tree, CA 92252-6607 2005-09-09
1710595392 White Feather Physicians PC Family Medicine 6601 White Feather Rd, Joshua Tree, CA 92252-6607 2020-07-20
1750928552 Ann Tadas Emergency Medicine 6601 White Feather Rd, Joshua Tree, CA 92252-6607 2019-11-30
1235605700 Senai, Inc. Anesthesiology 6601 White Feather Rd, Joshua Tree, CA 92252-6607 2018-10-22
1326543745 Cep America - California Emergency Medicine 6601 White Feather Rd, Joshua Tree, CA 92252-6607 2018-03-27
1083165393 Quantum Medical Radiology of California, PC Radiology 6601 White Feather Rd, Joshua Tree, CA 92252-6607 2016-10-21
1891240602 Desert Group Services, PC Hospitalist 6601 White Feather Rd, Joshua Tree, CA 92252-6607 2016-08-22
1306391123 Oasis Emergency Services, PC Emergency Medicine 6601 White Feather Rd, Joshua Tree, CA 92252-6607 2016-08-22
1851787295 Hdmc Holdings, LLC General Acute Care Hospital 6601 White Feather Rd, Joshua Tree, CA 92252-6607 2015-04-13
1821484262 Hdmc Holdings, LLC Medicare Defined Swing Bed Unit 6601 White Feather Rd, Joshua Tree, CA 92252-6607 2015-04-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609405992 Micheline Helou Nurse Practitioner 63532 Twentynine Palms Highway, Joshua Tree, CA 92252 2020-04-07
1821558164 Lisa Brown Nurse Practitioner 63532 29 Palms Hwy., Suite C, Joshua Tree, CA 92252 2019-03-22
1861990053 Candice Amber Packard Marriage & Family Therapist 60805 29 Palms Hwy, Joshua Tree, CA 92252 2018-01-23
1194195529 Jacob Edward Sanchez Counselor 60805 Twentynine Palms Hwy., Joshua Tree, CA 92252 2015-09-28
1023404357 American Health Services LLC Substance Abuse Rehabilitation Facility 65675 Sullivan Rd., Joshua Tree, CA 92252 2015-04-14
1699940486 Lee, Wee &baek. Dds. Inc Clinic/Center 61325 29palms Hwy.ste.a, Joshua Tree, CA 92252 2008-04-23
1447420690 County of San Bernardino Public Health or Welfare 63532 29 Palms Highway, Suite D, Joshua Tree, CA 92252 2008-03-04
1861671679 Lisa L Surace Marriage & Family Therapist 63532 Twentynine Palms Hwy, Suite C, Joshua Tree, CA 92252 2007-10-29
1821285271 Morongo Basin Mental Health Services Ass., Inc Substance Abuse Rehabilitation Facility 65675 Sullivan Rd, Joshua Tree, CA 92252 2007-10-01
1295872067 Angel View Crippled Childrens Foundation Inc Intermediate Care Facility, Mentally Retarded 60950 Sunburst, Joshua Tree, CA 92252 2007-01-31
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Taxonomy Information

Taxonomy Code 261QR0200X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Radiology

Taxonomy Definition

Definition to come...

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1164049508 Ohni Imaging Inc Clinic/Center 8631 W 3rd St # 945e, Los Angeles, CA 90048-5901 2020-07-01
1952924599 Oracle Imaging Inc. Clinic/Center 6941 Brockton Ave, Riverside, CA 92506-3803 2020-05-18
1720625742 F&m Radiology Medical Center Inc Clinic/Center 17779 Ventura Blvd # 100, Encino, CA 91316-3717 2019-12-09
1982240321 United Care Foundation Clinic/Center 2233 Watt Ave Ste 120, Sacramento, CA 95825-0569 2019-11-20
1932744893 Westcoast Radiology Associates Pllc Clinic/Center 4193 Flat Rock Dr Ste 200, Riverside, CA 92505-7113 2019-11-14
1518502087 Ishraf Corporation Clinic/Center 5720 Stoneridge Mall Rd Ste 288, Pleasanton, CA 94588-2830 2019-11-08
1780227769 Drs Concepts, Incorporated Clinic/Center 9335 Reseda Blvd. Suite 102, Northridge, CA 91324 2019-10-23
1538700588 Central Valley Medical Imaging, LLC Clinic/Center 1125 E Spruce Ave Ste 103, Fresno, CA 93720-3385 2019-10-01
1700447497 Ester A Hanna Clinic/Center 72650 Fred Waring Dr Ste 107, Palm Desert, CA 92260-5007 2019-06-24
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Competitor

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City JOSHUA TREE
Zip Code 92252

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Dataset Information

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.

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