HIGH DESERT SPECIALTY GROUP (NPI# 1720335359) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720335359 |
| Entity Type | Organization |
| Organization Name | HIGH DESERT SPECIALTY GROUP |
| Other Organization Name | HIGH DESERT EYE CARE |
| Practice Address |
17059 Main St Hesperia CA 92345-6067 |
| Mailing Address |
17095 Main St Hesperia CA 92345-6004 |
| Practice Telephone | 7602416666 |
| Practice Fax Number | 7602417575 |
| Mailing Telephone | 7609564170 |
| Mailing Fax Number | 7609564172 |
| Enumeration Date | 2012-08-14 |
| Last Update Date | 2012-08-14 |
| Authorized Official Name | ZIAD R EL-HAJJAOUI (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 7602416666 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | Eye and Vision Services Providers |
| Other Name | Type Code |
|---|---|
| High Desert Eye Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1134475395 | High Desert Specialty Group | Podiatrist | 19333 Bear Valley Rd, Suite 101, Apple Valley, CA 92308-5148 | 2012-07-25 |
| 1164738522 | High Desert Specialty Group | Specialist | 12550 Hesperia Rd, Suite 100, Victorville, CA 92395-5873 | 2010-08-24 |
| Street Address |
17059 MAIN ST |
| City | HESPERIA |
| State | CA |
| Zip Code | 92345-6067 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881467 | Leslie Guzman | Behavioral Analyst | 6700 Newhall Ave, Hesperia, CA 92345 | 2020-08-14 |
| 1134769896 | Nu Wave Medical Group Inc | Family Medicine | 9390 Hesperia Rd Suite 7, Hesperia, CA 92345 | 2020-01-10 |
| 1760901383 | Lindsey Kathleen Dunnagan | Counselor | 16501 Walnut Street, Suite 12, Hesperia, CA 92345 | 2017-09-14 |
| 1356869374 | Deborah Irene Freeman | Nurse Practitioner | 15398 Main Street Suite A, Hesperia, CA 92345 | 2017-08-30 |
| 1902260151 | Serge Bronstein | Counselor | 16808 Main St., D-154, Hesperia, CA 92345 | 2016-04-13 |
| 1366815805 | Caremore Health Plan | Nurse Practitioner | 17085 Main Street, Hesperia, CA 92345 | 2015-11-05 |
| 1174928402 | Jennifer Cathrin Bayle | Counselor | 17130 Sequoia St, Suite 106, Hesperia, CA 92345 | 2014-10-29 |
| 1447654256 | Diana Grace Chilstrom | Marriage & Family Therapist | 11776 Mariposa Road, Hesperia, CA 92345 | 2014-10-22 |
| 1639597545 | Adrianna Ebony Williams | Physical Therapy Assistant | 8939 11th Ave, Hesperia, CA 92345 | 2014-03-29 |
| 1477974426 | Aja Stoll | Case Manager/Care Coordinator | 9655 Ninth Ave, Hesperia, CA 92345 | 2013-12-18 |
| Find all providers in zip 92345 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356871651 | Anne Thu Bui | Optometrist | 12715 Main St Ste 740, Hesperia, CA 92345-9133 | 2017-06-19 |
| 1700327871 | Shailka Dawar | Optometrist | 15923 Bear Valley Rd Ste B100, Hesperia, CA 92345-1762 | 2017-03-09 |
| 1548660673 | Two Optometry,inc. | Optometrist | 15888 Main St Ste 112a, Ca, Hesperia, CA 92345-3467 | 2014-08-26 |
| 1346546637 | Hesperia Eyecare LLC | Optometrist | 38 N Division St, Hesperia, MI 49421-5100 | 2011-02-03 |
| 1679644124 | Charles A Richards | Optometrist | 17151 Main St Ste C, Hesperia, CA 92345-6004 | 2006-11-13 |
| 1275560500 | Golden Eye Optometry, Inc | Optometrist | 17497 Main St, Hesperia, CA 92345-6268 | 2006-06-26 |
| 1003897075 | Jintau Ernest Two | Optometrist | 15888 Main St, #112a, Hesperia, CA 92345-3452 | 2005-11-08 |
| 1841661063 | Bernice Pleskot | Optometrist | 11959 Mariposa Rd, Hesperia, CA 92345-1696 | 2015-10-14 |
| 1376948992 | True Eyecare Inc | Optometrist | 12795 Main St, Hesperia, CA 92345-9110 | 2014-10-24 |
| 1528471901 | Sara Kim | Optometrist | 13401 Main St, Hesperia, CA 92345-9123 | 2014-06-03 |
| Find all providers in HESPERIA | ||||
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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.