NPIMap

Organization Active NPI

Urologic Institute of the High Desert Inc.

  • Urology Physician
  • Apple Valley, CA
National Provider Identifier
1376867333
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
UROLOGIC INSTITUTE OF THE HIGH DESERT INC.
Practice address
18400 US Highway 18
Suite a
Apple Valley, CA 92307-2306
Phone
(760) 242-3939
Fax
(760) 242-3232
NPI assigned
Mar 19, 2010
Last updated
Apr 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Authorized official

Name
Dr. Pedram Ilbeigi, D.O.NPI 1609827336
Title
President/Ceo
Phone
(760) 242-3939

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X 20A8878 CA
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary
PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213E00000X

Addresses

Primary practice location

18400 US Highway 18
Suite a
Apple Valley, CA 92307-2306

Mailing address

18400 US Highway 18
Suite a
Apple Valley, CA 92307-2306
Phone (760) 242-3939

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100503000190 CA Part B Supplier - Clinic/Group Practice 3476681008 Receives reassigned benefits from 23 practitioners
Practice locations: Yucca Valley, CA; Victorville, CA; Ridgecrest, CA; Rancho Mirage, CA; Palm Springs, CA; Palm Desert, CA; Newport Beach, CA; La Quinta, CA…

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

18400 Outer Highway 18
Ste A
Apple Valley, CA 92307

18400 US Highway 18
#B
Apple Valley, CA 92307
Phone (760) 810-7590

205 N 1st St
Ste D
Blythe, CA 92225
Phone (760) 922-6667

1541 N China Lake Blvd
Ste 220
Ridgecrest, CA 93555

14973 Hesperia Rd
Victorville, CA 92395
Phone (760) 245-6477

Practitioners & affiliated clinicians

Practitioners 25

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.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1268956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744588800000",
    "number": "1376867333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18400 US HIGHWAY 18",
            "address_2": "SUITE A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072306",
            "telephone_number": "760-242-3939",
            "fax_number": "760-242-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18400 US HIGHWAY 18",
            "address_2": "SUITE A",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072306",
            "telephone_number": "760-242-3939",
            "fax_number": "760-242-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGIC INSTITUTE OF THE HIGH DESERT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-19",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A",
        "authorized_official_last_name": "ILBEIGI",
        "authorized_official_first_name": "PEDRAM",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "760-242-3939",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": "CA",
            "license": "20A8878",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "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 Apr 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.