High Desert Lung Center

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

Legal business name

HIGH DESERT LUNG CENTER

Practice address

18012 Wika Rd
Apple Valley, CA 92307-2125

Phone

(442) 292-2358

NPI assigned

May 10, 2024

Last updated

May 10, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ricardo Gomez, MDNPI 1790053528

Title

President

Phone

(760) 515-6260

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

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.

• Ricardo M Gomez, M.D.

  • Pulmonary Disease Physician
  • Apple Valley, CA
  • NPI 1790053528
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1715299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715299200000",
    "number": "1629826938",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18012 WIKA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072125",
            "telephone_number": "442-292-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT LUNG CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "RICARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-515-6260",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• High Desert Home Care Inc. (Homewatch CareGivers of Victorville)
• High Desert Juvenile Detention and Assessment Center
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• High Desert Juvenile Detention and Assessment Center
• High Desert Limb Salvage Institute Podiatrist Corp
• High Desert Medical Transport
• High Desert Neuro-Diagnostic Medical Group, Inc.
• High Desert Osteopathic Medical Care a Medical Corporation
• High Desert Pain Management Institute LLC
• High Desert Primary Care

• Pulmonary Disease Physician in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Pulmonary Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.