Organization Active NPI

High Desert Medical Group

  • Multi-Specialty Clinic/Center
  • Lancaster, CA
National Provider Identifier
1720196702
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HIGH DESERT MEDICAL GROUP
Doing business as
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
Last updated
Sep 2, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
HERITAGE PROVIDER NETWORK, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Dr. Charles Myaing Lim, M.D.NPI 1205947231
Title
Medical Director
Phone
(661) 945-5984

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 7

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X
Internal Medicine Physician 207R00000X
Pediatrics Physician 208000000X
Occupational Medicine Physician 2083X0100X
Surgery Physician 208600000X
Multi-Specialty Clinic/Center 261QM1300X Primary
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 2

IdentifierTypeStateIssuer
GR0047930MedicaidCA
GR0047931MedicaidCA

Other names 1

  • HIGH DESERT MEDICAL GROUP Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D0885230High Desert Medical Group43839 15TH St W, Lancaster, CA 93534ComplianceFeb 27, 2027

National Provider Directory

National Provider Directory
Part of
Heritage Provider Network Inc

Locations

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

801 E Mountain View St
Ste E
Barstow, CA 92311
Phone (760) 252-2700

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

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

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

12408 Hesperia Rd
Ste 2
Victorville, CA 92395
Phone (760) 553-7000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: 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)…

Ownership & related parties

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 & affiliated clinicians

Practitioners 144

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.

View all 144

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1720196702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7007",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935397007",
            "telephone_number": "661-945-5984",
            "fax_number": "661-951-3192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43839 15TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344756",
            "telephone_number": "661-945-5984",
            "fax_number": "661-951-3192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT MEDICAL GROUP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HERITAGE PROVIDER NETWORK, INC.",
        "enumeration_date": "2006-08-29",
        "last_updated": "2025-09-02",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "LIM",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "MYAING",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "661-945-5984",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0047930",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0047931",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HIGH DESERT MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lancaster, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.