Active NPI
Hi-Desert P.E.T. & Nuclear Imaging Center
- Nuclear Radiology Physician
- Victorville, CA
National Provider Identifier
1396807202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Radiology Physician
- License
- BSL06-03366
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 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 DirectoryLocations
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.
-
- Nuclear Radiology Physician
- Long Beach, CA
- NPI 1730161282
-
- Nuclear Medicine Physician
- Torrance, CA
- NPI 1396727889
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.