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).
| 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 |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
240000231 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | BLUE SHIELD | ZZZ35026Z | 01 |
| CA | GR0095320 | 05 | |
| CA | MEDICAL BOARD FICTITIOUS | FNP31524 | 01 |
| Other Name | Type Code |
|---|---|
| Hi Desert Radiology Physician | Doing Business As Name - Organization |
| 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 |
| Street Address |
6601 WHITE FEATHER RD |
| City | JOSHUA TREE |
| State | CA |
| Zip Code | 92252-6607 |
| 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 |
| Find all providers in the same location | ||||
| 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 |
| Find all providers in zip 92252 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780201012 | Whitsett Diagnostic Inc | Clinic/Center | 12444 Victory Blvd Ste 407, North Hollywood, CA 91606-3199 | 2020-07-02 |
| 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 |
| Find all providers with the same taxonomy | ||||
| City | JOSHUA TREE |
| Zip Code | 92252 |
Please comment or provide details below to improve the information on HI-DESERT MEDICAL CENTER.
| 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.