High Desert Specialty Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HIGH DESERT SPECIALTY GROUP

Practice address

17077 Main St
Hesperia, CA 92345-6071

Phone

(760) 956-4128

Fax

(760) 949-8572

NPI assigned

Jul 31, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ziad R. El-Hajjaoui, MD

Title

Medical Dirrector

Phone

(766) 241-6666

Specialties & licenses 3

Addresses

Other names 1

• High Desert Urgent Care Doing business as

Tax ID family

High Desert Cardiology4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• High Desert Specialty Group

  • Physical Medicine & Rehabilitation Physician
  • Hesperia, CA
  • NPI 1417204215
  NPD tax ID
• High Desert Specialty Group

  • Optometrist
  • Hesperia, CA
  • NPI 1720335359
  NPD tax ID
• High Desert Specialty Group

  • Cardiovascular Disease Physician
  • Apple Valley, CA
  • NPI 1730435496
  NPD tax ID

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1343692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1124374889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17095 MAIN ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456004",
            "telephone_number": "760-241-6666",
            "fax_number": "760-241-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17077 MAIN ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456071",
            "telephone_number": "760-956-4128",
            "fax_number": "760-949-8572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT SPECIALTY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-31",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "EL-HAJJAOUI",
        "authorized_official_first_name": "ZIAD",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "MEDICAL DIRRECTOR",
        "authorized_official_telephone_number": "766-241-6666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Desert Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Charlisa Heyward, DNP, FNP-C
• High Desert Internal Medicine, Professional Corporation
• High Desert Primary Care
• High Desert Primary Care
• High Desert Second Chance
• High Desert Specialty Group
• High Desert Specialty Group
• High Desert Speech
• High Desert Speech and Language Pathology Center, Inc.
• Christine Highum, DDS

• Family Medicine Physician in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.