High Desert Specialty Group

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

HIGH DESERT SPECIALTY GROUP

Practice address

12550 Hesperia Rd
Suite 100
Victorville, CA 92395-5873

Phone

(760) 241-6666

Fax

(760) 241-7575

NPI assigned

Aug 24, 2010

Organization subpart

No

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

Authorized official

Name

Ziad El Hajjaoui, MD

Title

Medical Director

Phone

(760) 241-6666

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1282608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335312000000",
    "number": "1164738522",
    "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": "760-947-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 HESPERIA RD",
            "address_2": "SUITE 100",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955873",
            "telephone_number": "760-241-6666",
            "fax_number": "760-241-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT SPECIALTY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-24",
        "last_updated": "2012-04-25",
        "status": "A",
        "authorized_official_last_name": "EL HAJJAOUI",
        "authorized_official_first_name": "ZIAD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "760-241-6666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• High Desert Pace Center
• High Desert Pathology Medical Group
• High Desert Primary Care (High Desert Primary Care - Victorville)
• High Desert Primary Care
• High Desert Psychological Services
• Genesis Tiye Hill
• Kiwana Marie Hill, M.D.
• Tennia Hill
• Tershama Hill
• Tiffany Christina Hill, ASW

• Specialist in Victorville, CA
• Providers in Victorville, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 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.