Active NPI
High Desert Vein and Vascular P C
- Vascular Surgery Physician
- Apple Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- Legal business name
- HIGH DESERT VEIN AND VASCULAR P C
- Practice address
- 16008 Kamana Rd Ste 101
Apple Valley, CA 92307-1376 - Phone
- (760) 683-2199
- Fax
- (888) 355-9670
- NPI assigned
- Jul 19, 2024
- Last updated
- Jul 30, 2025
- 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
- Omar Z Tahir, MD
- Title
- President
- Phone
- (760) 515-6260
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Primary |
Addresses
Primary practice location
16008 Kamana Rd Ste 101
Apple Valley, CA 92307-1376
Mailing address
18092 Wika Rd Ste 220
Apple Valley, CA 92307-2132
Phone (760) 515-6260
Other practice location 1
1376 N Waterman Ave
San Bernardino, CA 92404-5313
Phone (760) 683-2199
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
16008 Kamana Rd
Ste 101
Apple Valley, CA 92307
Phone (442) 469-4268
1376 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (760) 683-2199
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.
-
- Vascular Surgery Physician
- Apple Valley, CA
- NPI 1316102544
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753833600000",
"number": "1588402887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18092 WIKA RD STE 220",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923072132",
"telephone_number": "760-515-6260",
"fax_number": "949-863-8505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16008 KAMANA RD STE 101",
"city": "APPLE VALLEY",
"state": "CA",
"postal_code": "923071376",
"telephone_number": "760-683-2199",
"fax_number": "888-355-9670"
}
],
"practiceLocations": [
{
"address_1": "1376 N Waterman Ave",
"address_purpose": "LOCATION",
"city": "San Bernardino",
"state": "CA",
"postal_code": "924045313",
"country_code": "US",
"telephone_number": "760-683-2199",
"fax_number": "888-355-9670",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HIGH DESERT VEIN AND VASCULAR P C",
"organizational_subpart": "NO",
"enumeration_date": "2024-07-19",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"status": "A",
"authorized_official_last_name": "TAHIR",
"authorized_official_first_name": "OMAR",
"authorized_official_middle_name": "Z",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "760-515-6260",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Apple Valley, CA
- High Desert Pulmonary Associates, Inc
- High Desert Sleep Disorder Center
- High Desert Specialty Group (High Desert Foot & Ankle Care)
- High Desert Specialty Group (High Desert Cardiology)
- High Desert Valley Pediatric Medical Group, Inc.
- High Desert Womens Memorial Medical Center Apc (Birth & Womens Medical Center)
- Higher Calling Healthcare Agency LLC
- Naomi Meade Hill
- Michelle Hillmann
- Susan Lynn Hinojos
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 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.