NPIMap

Organization Active NPI

High Desert Primary Care

  • Internal Medicine Physician
  • Victorville, CA
National Provider Identifier
1770537466
Registry record updated Feb 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A50633 Issued in CA
Legal business name
HIGH DESERT PRIMARY CARE
Practice address
12550 Hesperia Rd
Ste 100
Victorville, CA 92395-5873
Phone
(760) 241-6666
Fax
(760) 951-1609
NPI assigned
May 19, 2006
Last updated
Feb 22, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2011

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

Authorized official

Name
Ziad El-Hajjaoui, M.D.NPI 1376543785
Title
Medical Director
Phone
(760) 241-6666

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)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A50633 CA Primary

Addresses

Primary practice location

12550 Hesperia Rd
Ste 100
Victorville, CA 92395-5873

Mailing address

12550 Hesperia Rd
Ste 100
Victorville, CA 92395-5873
Phone (760) 241-6666

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ13501ZOtherCAMEDICARE PTAN

National Provider Directory

National Provider Directory

Locations

19333 Bear Valley Rd
#1011
Apple Valley, CA 92308

19333 Bear Valley Rd
#101102
Apple Valley, CA 92308

17061 Main St
Hesperia, CA 92345
Phone (760) 956-4126

17095 Main St
#A
Hesperia, CA 92345

12550 Hesperia Rd
Victorville, CA 92395
Phone (619) 241-6666

Practitioners & affiliated clinicians

Practitioners 28

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 28

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298332800000",
    "number": "1770537466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12550 HESPERIA RD",
            "address_2": "STE 100",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955873",
            "telephone_number": "760-241-6666",
            "fax_number": "760-951-1609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12550 HESPERIA RD",
            "address_2": "STE 100",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955873",
            "telephone_number": "760-241-6666",
            "fax_number": "760-951-1609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2011-02-22",
        "status": "A",
        "authorized_official_last_name": "EL-HAJJAOUI",
        "authorized_official_first_name": "ZIAD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "760-241-6666",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A50633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ZZZ13501Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; 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.