HIGH DESERT HEART VASCULAR INSTITUTE, A CALIFORNIA PROFESSIONAL CORP (NPI# 1033577044) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033577044 |
| Entity Type | Organization |
| Organization Name | HIGH DESERT HEART VASCULAR INSTITUTE, A CALIFORNIA PROFESSIONAL CORP |
| Practice Address |
12780 Hesperia Rd Victorville CA 92395-5806 |
| Mailing Address |
Po Box 1467 Victorville CA 92393-1467 |
| Practice Telephone | 7602412270 |
| Practice Fax Number | 7602410532 |
| Mailing Telephone | 7602418000 |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |
| Authorized Official Name | VENKAMMA REDDY (OWNER) |
| Authorized Official Telephone | 7602418000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
207ROOOOOX | CA | Allopathic & Osteopathic Physicians |
| Street Address |
12780 HESPERIA RD |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-5806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427004977 | Ramin Bahman Ashtiani | Specialist | 12780 Hesperia Rd, Victorville, CA 92395-5806 | 2006-05-26 |
| 1336335793 | Ronald S Kundargi Md Inc. | Internal Medicine | 12780 Hesperia Rd, Victorville, CA 92395-5806 | 2007-09-19 |
| 1255465894 | Tm & Hana Medical Corporation | Internal Medicine | 12780 Hesperia Rd, Victorville, CA 92395-5806 | 2007-03-15 |
| 1689720781 | Yash P Subherwal | Internal Medicine | 12780 Hesperia Rd, Victorville, CA 92395-5806 | 2007-01-25 |
| 1558454009 | Michele Violette Ybarra | Registered Nurse | 12780 Hesperia Rd, Victorville, CA 92395 | 2006-10-02 |
| 1336232818 | Daniel Carl Austin | Registered Nurse | 12780 Hesperia Rd, Victorville, CA 92395 | 2006-10-02 |
| 1639262116 | Christine Ann Reyes | Registered Nurse | 12780 Hesperia Rd, Victorville, CA 92395 | 2006-10-02 |
| 1437173804 | High Desert Heart Institute Medical Corporation | Nuclear Medicine | 12780 Hesperia Rd, Victorville, CA 92395-5806 | 2006-07-27 |
| 1609806041 | Siva Arunasalam | Internal Medicine | 12780 Hesperia Rd, Victorville, CA 92395-5806 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093044794 | Lesan Banko, M.d. Inc. | Internal Medicine | 12984 Hesperia Rd Ste 100, Victorville, CA 92395-5819 | 2009-12-09 |
| 1861648560 | Lesanemariam Tenkir Banko | Internal Medicine | 12984 Hesperia Rd, Ste 100, Victorville, CA 92395-5819 | 2008-08-13 |
| 1962429431 | Omer Ahmed | Internal Medicine | 15201 11th St Ste 400, Victorville, CA 92395-3735 | 2006-07-17 |
| 1992347298 | Michelle Lee Hastings | Internal Medicine | 13024 Hesperia Rd Ste 103, Victorville, CA 92395-8303 | 2019-10-08 |
| 1922460047 | Chirag P. Mehta, Md Inc. | Internal Medicine | 13010 Hesperia Rd, Suite 500, Victorville, CA 92395-5837 | 2016-03-28 |
| 1134319890 | Morakod Lim | Internal Medicine | 16850 Bear Valley Rd, Suite 105, Victorville, CA 92395-5794 | 2007-07-30 |
| 1346440500 | Ahmed Medical Corporation | Internal Medicine | 15201 11th St Ste 400, Victorville, CA 92395-3735 | 2007-07-24 |
| 1710068366 | Mohammad Aslam | Internal Medicine | 16850 Bear Valley Rd, Suite 105, Victorville, CA 92395 | 2006-10-18 |
| 1609806041 | Siva Arunasalam | Internal Medicine | 12780 Hesperia Rd, Victorville, CA 92395-5806 | 2006-07-03 |
| 1639120736 | Prem Reddy | Internal Medicine | 16850 Bear Valley Rd, Victorville, CA 92395-5794 | 2006-05-13 |
| Find all providers in VICTORVILLE | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
Please comment or provide details below to improve the information on HIGH DESERT HEART VASCULAR INSTITUTE, A CALIFORNIA PROFESSIONAL CORP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.