High Desert Anesthesiology,Inc

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

C25869 Issued in IN

Legal business name

HIGH DESERT ANESTHESIOLOGY,INC

Practice address

555 S 7TH Ave
Barstow, CA 92311-3043

Phone

(760) 256-1761

Fax

(760) 957-3053

NPI assigned

Jun 8, 2007

Organization subpart

No

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

Authorized official

Name

Kim Harrison

Title

Manager

Phone

(760) 362-3777

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1238716800000",
    "number": "1992908693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2019",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922862019",
            "telephone_number": "760-362-3777",
            "fax_number": "760-228-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 S 7TH AVE",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113043",
            "telephone_number": "760-256-1761",
            "fax_number": "760-957-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGH DESERT ANESTHESIOLOGY,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-08",
        "last_updated": "2009-04-03",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "760-362-3777"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "C25869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ciera Marie Hernandez
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• Lisa Kay Herrmann
• Ronney R Hester
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• High Desert Womens Memorial Medical Center Apc
• High Impact Therapy, Licensed Clinical Social Worker, P.C.

• Anesthesiology Physician in Barstow, CA
• Providers in Barstow, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; 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.