NPIMap

High Desert Medical Group

Organization Active NPI Multi-Specialty Clinic/Center · Lancaster, CA

NPI 1720196702 · NPPES record last updated Sep 2, 2025

Key facts

NPI
1720196702
Entity type
Organization (NPI type 2)
Primary specialty
Multi-Specialty Clinic/Center 261QM1300X
Legal business name
HIGH DESERT MEDICAL GROUP
Practice address
43839 15TH St W
Lancaster, CA 93534-4756
Phone
(661) 945-5984
Fax
(661) 951-3192
NPI assigned
Aug 29, 2006
Organization subpart
Yes
Parent organization (as reported)
HERITAGE PROVIDER NETWORK, INC.

Authorized official

Name
Dr. Charles Myaing Lim, M.D.
Title
Medical Director
Phone
(661) 945-5984

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners 144

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

View all 144

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0885230High Desert Medical Group
43839 15TH St W, Lancaster, CA 93534		ComplianceFeb 27, 2027

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20031118001191 CA Part B Supplier - Clinic/Group Practice 6103730569 Receives reassigned benefits from 106 practitioners
Practice locations: Lancaster, CA; Victorville, CA

National Provider Directory

Part of
Heritage Provider Network Inc

Locations

3720 Sierra Hwy
Ste F
Acton, CA 93510
Phone (661) 945-5984

1669 W Avenue J
Lancaster, CA 93534
Phone (661) 945-5984

2260 E Palmdale Blvd
Ste Gi
Palmdale, CA 93550
Phone (661) 272-3777

38209 47th St E
Palmdale, CA 93552
Phone (661) 272-3777

12370 Hesperia Rd
Ste 9
Victorville, CA 92395
Phone (760) 261-5227

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD
    Plans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207Q00000X
Internal Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 207R00000X
Pediatrics Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208000000X
Occupational Medicine Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 2083X0100X
Surgery Physician
Group: 193200000X MULTI-SPECIALTY GROUP		 208600000X
Multi-Specialty Clinic/Center 261QM1300X Yes
Urgent Care Clinic/Center 261QU0200X

Addresses

Primary practice location

43839 15TH St W
Lancaster, CA 93534-4756

Mailing address

PO Box 7007
Lancaster, CA 93539-7007
Phone (661) 945-5984

Other identifiers

IdentifierTypeStateIssuer
GR0047931MedicaidCA
GR0047930MedicaidCA

Other names

  • HIGH DESERT MEDICAL GROUP Doing business as

Other providers in Lancaster, CA

All providers in Lancaster, CA · Multi-Specialty Clinic/Center in California

Sources for this page

Verify at the official NPI Registry.