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

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.

Title

President

Phone

(661) 723-7833

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

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

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE PIN",
            "identifier": "A87209",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "00A872090",
            "state": null
        }
    ],
    "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.