High Desert Medical Office

Primary specialty

Internist ChiropractorTaxonomy code 111NI0900X

License

G43728 Issued in CA

Legal business name

HIGH DESERT MEDICAL OFFICE

Practice address

14298 St. Andrews Dr
Suite 11
Victorville, CA 92395

Phone

(760) 243-2311

Fax

(760) 243-2880

NPI assigned

Nov 4, 2008

Organization subpart

No

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

Authorized official

Name

Angela L. Zipser

Title

Office Manager

Phone

(760) 243-2311

Specialties & licenses 2

Addresses

Locations

Practitioners 1

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

• Jin Hyang Ryu, ACUPUNCTURIST

  • Acupuncturist
  • Placentia, CA
  • NPI 1548601651
  NPD (past)

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

{
    "created_epoch": "1225756800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1295989226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14298 ST. ANDREWS DR",
            "address_2": "SUITE 11",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92395",
            "telephone_number": "760-243-2311",
            "fax_number": "760-243-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14298 ST. ANDREWS DR",
            "address_2": "SUITE 11",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "92395",
            "telephone_number": "760-243-2311",
            "fax_number": "760-243-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT MEDICAL OFFICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-04",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "ZIPSER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-243-2311"
    },
    "taxonomies": [
        {
            "code": "111NI0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Internist",
            "state": "CA",
            "license": "14177",
            "primary": false
        },
        {
            "code": "111NI0900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor, Internist",
            "state": "CA",
            "license": "G43728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• High Desert Heart Institute Medical Corporation
• High Desert Heart Vascular Institute, a California Professional Corp
• High Desert Hospice Services, Inc.
• High Desert Infectious Disease Associates Inc.
• High Desert Institute of Ophthalmology, Inc
• High Desert Nephrology Medical Associates Inc.
• High Desert Nephrology Medical Associates, Inc.
• High Desert Pace Center
• High Desert Pathology Medical Group
• High Desert Primary Care

• Internist Chiropractor in Victorville, CA
• Providers in Victorville, CA by specialty
• Internist Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.