NPIMap

Organization Active NPI

High Desert Endoscopy

  • Ambulatory Surgical Clinic/Center
  • Apple Valley, CA
National Provider Identifier
1356362552
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
HIGH DESERT ENDOSCOPY
Practice address
18523 Corwin Rd
Ste H-2
Apple Valley, CA 92307-2338
Phone
(760) 242-3000
Fax
(760) 242-1802
NPI assigned
Jul 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Raman Sadasivaswamy Poola, M.D.NPI 1669493862
Title
Owner
Phone
(760) 242-3000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X CA Primary

Addresses

Primary practice location

18523 Corwin Rd
Ste H-2
Apple Valley, CA 92307-2338

Mailing address

18523 Corwin Rd
Ste H-2
Apple Valley, CA 92307-2338
Phone (760) 242-3000

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
High Desert EndoscopyCCN 05C0001235
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

18523 Corwin Rd
Ste H2
Apple Valley, CA 92307
Phone (760) 242-3000

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1356362552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18523 CORWIN RD",
            "address_2": "STE H-2",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072338",
            "telephone_number": "760-242-3000",
            "fax_number": "760-242-1802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18523 CORWIN RD",
            "address_2": "STE H-2",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072338",
            "telephone_number": "760-242-3000",
            "fax_number": "760-242-1802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT ENDOSCOPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "POOLA",
        "authorized_official_first_name": "RAMAN",
        "authorized_official_middle_name": "SADASIVASWAMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-242-3000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.