Desert Valley Orthopedic Surgery

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

C51163 Issued in CA

Legal business name

DESERT VALLEY ORTHOPEDIC SURGERY

Practice address

1669 W Avenue J Ste 201
Lancaster, CA 93534-2869

Phone

(661) 940-6411

Fax

(661) 940-6497

NPI assigned

Nov 26, 2007

Last updated

Dec 27, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mohammad Sirajullah, MD

Title

Orthopedic

Phone

(661) 940-6411

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198713600000",
    "number": "1174704670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 W AVENUE J STE 201",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342869",
            "telephone_number": "661-940-6411",
            "fax_number": "661-940-6497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 W AVENUE J STE 201",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935342869",
            "telephone_number": "661-940-6411",
            "fax_number": "661-940-6497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VALLEY ORTHOPEDIC SURGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-12-27",
        "status": "A",
        "authorized_official_last_name": "SIRAJULLAH",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "ORTHOPEDIC",
        "authorized_official_telephone_number": "661-940-6411",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "C51163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yhair Desantiago
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• Desert Hills Sleep Disorder Center
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• Design for Change
• Design for Change
• Design for Change
• Design for Living
• Design for Living Behavior Health

• Medical Specialty Clinic/Center in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2007; 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.