Organization Active NPI

Hi-Desert P.E.T. & Nuclear Imaging Center

  • Nuclear Radiology Physician
  • Victorville, CA
National Provider Identifier
1396807202
Registry record updated Jul 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Radiology PhysicianTaxonomy code 2085N0904X
License
BSL06-03366 Issued in CA
Legal business name
HI-DESERT P.E.T. & NUCLEAR IMAGING CENTER
Practice address
17260 Bear Valley Rd
Suite 114
Victorville, CA 92395-7777
Phone
(760) 955-9119
Fax
(760) 955-9118
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2008

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

Authorized official

Name
Dr. Khalid M Sheikh, PH.D
Title
President
Phone
(760) 955-9119

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085N0904X BSL06-03366 CA Primary

Addresses

Primary practice location

17260 Bear Valley Rd
Suite 114
Victorville, CA 92395-7777

Mailing address

17260 Bear Valley Rd
Suite 114
Victorville, CA 92395-7777
Phone (760) 955-9119

National Provider Directory

National Provider Directory

Locations

17260 Bear Valley Rd
Ste 114
Victorville, CA 92395
Phone (760) 955-9119

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217376000000",
    "number": "1396807202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17260 BEAR VALLEY RD",
            "address_2": "SUITE 114",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957777",
            "telephone_number": "760-955-9119",
            "fax_number": "760-955-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17260 BEAR VALLEY RD",
            "address_2": "SUITE 114",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957777",
            "telephone_number": "760-955-9119",
            "fax_number": "760-955-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HI-DESERT P.E.T. & NUCLEAR IMAGING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-07-30",
        "status": "A",
        "authorized_official_last_name": "SHEIKH",
        "authorized_official_first_name": "KHALID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-955-9119",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": "CA",
            "license": "BSL06-03366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.