HIGH DESERT HEMODIALYSIS, INC. (NPI# 1811917362) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811917362 |
| Entity Type | Organization |
| Organization Name | HIGH DESERT HEMODIALYSIS, INC. |
| Practice Address |
1007 W Avenue M14 Suite B Palmdale CA 93551-1443 |
| Practice Telephone | 6612657810 |
| Practice Fax Number | 6612657089 |
| Mailing Telephone | 6612657810 |
| Mailing Fax Number | 6612657089 |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2012-08-28 |
| Authorized Official Name | DR. JOHN H FISHER (OWNER/CEO) |
| Authorized Official Telephone | 6612657810 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
A41776 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CDC02699F | 05 |
| Street Address |
1007 W AVENUE M14 SUITE B |
| City | PALMDALE |
| State | CA |
| Zip Code | 93551-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699777334 | John H.h. Fisher | Internal Medicine | 1007 W Avenue M14, Suite B-1, Palmdale, CA 93551-1443 | 2005-08-12 |
| 1245846864 | Sara Jane Godina | Behavioral Analyst | 1007 W Avenue M14, Palmdale, CA 93551-1443 | 2020-09-18 |
| 1952967218 | Jonathan Luis Uribe | Nurse Practitioner | 1007 W Avenue M14, Palmdale, CA 93551-1443 | 2019-05-13 |
| 1952709685 | Diana Aguilar | Behavioral Analyst | 1007 W Avenue M14, Ste P, Palmdale, CA 93551-1443 | 2014-12-11 |
| 1780082420 | Glori Delorio | Behavioral Analyst | 1007 W Avenue M14, Ste P, Palmdale, CA 93551-1443 | 2014-12-11 |
| 1629409990 | Roberto Luis Mejia | Behavioral Analyst | 1007 W Avenue M14, Ste. C, Palmdale, CA 93551-1443 | 2013-12-11 |
| 1760815682 | Aaron Neil Goodman | Behavioral Analyst | 1007 W Avenue M14, Palmdale, CA 93551-1443 | 2013-08-14 |
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| 1891338372 | Babak Yousefi & Fariborz Rodef Dental Corporation | Dentist | 623 West Ave Q Suite #b, Palmdale, CA 93551 | 2019-10-28 |
| 1770052748 | The Kibbutz - Nature Serenity Renewal | Clinic/Center | 13136 Elizabeth Lake Rd, Leona Valley, CA 93551 | 2018-11-19 |
| 1306321872 | Vicky Elena Ledesma | Case Manager/Care Coordinator | 251 Grand Cypress Ave, Palmdale, CA 93551 | 2018-10-01 |
| 1972025898 | Tamika Estrella | Driver | 39553 Hawthorne St, Palmdale, CA 93551 | 2017-07-12 |
| 1245750751 | Tamara Vwich Dds Inc | Dentist | 3011 Rancho Vista Blvd., Suite I, Palmdale, CA 93551 | 2017-06-26 |
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| 1235501750 | Jessica Andrea Ulloa | Counselor | 734 Celtic Dr, Palmdale, CA 93551 | 2015-10-23 |
| 1508240243 | Rachel Williams | Registered Nurse | 3961 Woburn Ct, Palmdale, CA 93551 | 2015-07-13 |
| Find all providers in zip 93551 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
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|---|---|---|---|---|
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| 1528242542 | Total Renal Care Inc | Clinic/Center | 1643 East Palmdale Blvd, Palmdale, CA 93550-4847 | 2007-12-27 |
| 1386740470 | Palmdale Regional Dialysis Medical Center Inc | Clinic/Center | 1643 E Palmdale Blvd, Palmdale, CA 93550-4847 | 2006-09-15 |
| 1316968977 | East Palmdale Dialysis Center, LLC | Clinic/Center | 2710 E Palmdale Blvd, Palmdale, CA 93550-4946 | 2006-07-21 |
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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.