High Desert Urology Medical Group, Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

A39485 Issued in CA

Legal business name

HIGH DESERT UROLOGY MEDICAL GROUP, INC

Practice address

44105 15TH St W Ste 302
Lancaster, CA 93534-4089

Phone

(661) 949-3006

Fax

(661) 949-8770

NPI assigned

May 8, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Tawfik T Hadaya, M.D.

Title

President

Phone

(661) 949-3006

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rose Vargas, FNP

  • Family Nurse Practitioner
  • Orange, CA
  • NPI 1992199277
  NPD

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

{
    "created_epoch": "1336435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1144589359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44105 15TH ST W STE 302",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344089",
            "telephone_number": "661-949-3006",
            "fax_number": "661-949-8770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44105 15TH ST W STE 302",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344089",
            "telephone_number": "661-949-3006",
            "fax_number": "661-949-8770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT UROLOGY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-08",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "HADAYA",
        "authorized_official_first_name": "TAWFIK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-949-3006",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "A39485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0308929",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diana T Hidalgo
• High Desert Counseling Services
• High Desert Gastroenterology Inc
• High Desert Health System Pharmacy
• High Desert Medical Group
• Highland Dental Group
• Benjamin Robbins Higier, DC
• Donna L Hilber, N.P.
• Adriana Marie Hill-Santander
• Anita Maria Hill, LICENSED VOCATIONAL

• All providers in Lancaster, CA
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.