High Desert Specialty Group

Primary specialty

OptometristTaxonomy code 152W00000X

Legal business name

HIGH DESERT SPECIALTY GROUP

Practice address

17059 Main St
Hesperia, CA 92345-6067

Phone

(760) 241-6666

Fax

(760) 241-7575

NPI assigned

Aug 14, 2012

Organization subpart

No

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

Authorized official

Name

Ziad R El-Hajjaoui, MD

Title

Medical Director

Phone

(760) 241-6666

Specialties & licenses 1

Addresses

Other names 1

• High Desert Eye Care Doing business as

Tax ID family

High Desert Cardiology4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• High Desert Specialty Group

  • Family Medicine Physician
  • Hesperia, CA
  • NPI 1124374889
  NPD tax ID
• High Desert Specialty Group

  • Physical Medicine & Rehabilitation Physician
  • Hesperia, CA
  • NPI 1417204215
  NPD tax ID
• High Desert Specialty Group

  • Cardiovascular Disease Physician
  • Apple Valley, CA
  • NPI 1730435496
  NPD tax ID

Locations

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344902400000",
    "number": "1720335359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17095 MAIN ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456004",
            "telephone_number": "760-956-4170",
            "fax_number": "760-956-4172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17059 MAIN ST",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923456067",
            "telephone_number": "760-241-6666",
            "fax_number": "760-241-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT SPECIALTY GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A",
        "authorized_official_last_name": "EL-HAJJAOUI",
        "authorized_official_first_name": "ZIAD",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "760-241-6666",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "High Desert Eye Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• High Desert Primary Care
• High Desert Primary Care
• High Desert Second Chance
• High Desert Specialty Group
• High Desert Specialty Group
• High Desert Speech
• High Desert Speech and Language Pathology Center, Inc.
• Christine Highum, DDS
• Beverly Lorraine Hill, LVN
• Jacqueline Hill

• Optometrist in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.