Desert Communities Mibs, Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A87209 Issued in CA

Legal business name

DESERT COMMUNITIES MIBS, INC

Practice address

43830 10TH St W
Lancaster, CA 93534-4826

Phone

(661) 723-7833

Fax

(661) 723-2595

NPI assigned

Jul 1, 2006

Last updated

Aug 22, 2020By 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

John Yadegar, M.D.NPI 1336163435

Title

President

Phone

(661) 723-7833

Specialties & licenses 1

Addresses

Other names 1

• John Yadegar, M.D. Former legal business name

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.

• John Yadegar, MD

  • Surgery Physician
  • Palmdale, CA
  • NPI 1336163435
  Authorized official Same address or phone

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1801825971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43830 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344826",
            "telephone_number": "661-723-7833",
            "fax_number": "661-723-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43830 10TH ST W",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935344826",
            "telephone_number": "661-723-7833",
            "fax_number": "661-723-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT COMMUNITIES MIBS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "YADEGAR",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-723-7833",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A87209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "John Yadegar, M.D.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tina Louise Derienzo, CPRP
• Himani Desai, D.D.S
• Manish Jayesh Desai, D.O
• Yhair Desantiago
• Desert Canyon Post Acute, LLC
• Desert Hills Sleep Disorder Center
• Desert Nutrition Rd, LLC
• Desert Valley Orthopedic Surgery
• Design for Change
• Design for Change

• Surgery Physician in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.