HI-DESERT P.E.T. & NUCLEAR IMAGING CENTER (NPI# 1396807202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396807202 |
| Entity Type | Organization |
| Organization Name | HI-DESERT P.E.T. & NUCLEAR IMAGING CENTER |
| Practice Address |
17260 Bear Valley Rd Suite 114 Victorville CA 92395-7777 |
| Practice Telephone | 7609559119 |
| Practice Fax Number | 7609559118 |
| Mailing Telephone | 7609559119 |
| Mailing Fax Number | 7609559118 |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2008-07-30 |
| Authorized Official Name | DR. KHALID M SHEIKH (PRESIDENT) |
| Authorized Official Telephone | 7609559119 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
BSL06-03366 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
17260 BEAR VALLEY RD SUITE 114 |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-7777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821178856 | Elite Diagnostic Imaging, LLC | Specialist | 17260 Bear Valley Rd, Suite 109, Victorville, CA 92395-7777 | 2006-10-16 |
| 1962649483 | Robert R Young | Specialist | 17260 Bear Valley Rd, Suite 109, Victorville, CA 92395-7777 | 2009-01-21 |
| 1114112372 | Beverly Radiology Medical Group IIi | Radiology | 17260 Bear Valley Rd, Suite 109, Victorville, CA 92395-7777 | 2007-09-11 |
| 1861686636 | Peter Cho | Dentist | 17260 Bear Valley Rd, Suite 108, Victorville, CA 92395-7777 | 2007-09-04 |
| 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 | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952731747 | Daniel Peter Calabrese | Radiology | 1287 Innsbruck Drive, Lake Arrowhead, CA 92352 | 2013-11-15 |
| 1700226933 | Focus Medical Imaging | Radiology | 267 S San Pedro St, Suite 261, Los Angeles, CA 90012-3874 | 2013-07-02 |
| 1831453661 | Michael Arthur Lopiano | Radiology | 3098 Seaview Ave, Ventura, CA 93001-4242 | 2012-06-26 |
| 1568792588 | Stanley Furmanski | Radiology | 1015 Gayley Avenue, #256, Los Angeles, CA 90024 | 2010-01-14 |
| 1093040123 | Thomas Armstrong Hope | Radiology | Ucsf Department of Radiology, 505 Parnassus Avenue, M-391, San Francisco, CA 94143-0001 | 2009-10-07 |
| 1235338112 | John Jaeyoung Shim | Radiology | 1000 W Carson St., Box 29, Harbor-ucla Dept of Radiology, Torrance, CA 90509 | 2007-07-12 |
| 1023212297 | Aaron Esrig | Radiology | 2505 Kilo Way, Laguna Beach, CA 92651-4020 | 2007-06-12 |
| 1992844088 | Medical Center Magnetic Imaging, LLC | Radiology | 3000 Telegraph Ave, Oakland, CA 94609-3218 | 2007-02-05 |
| 1811034325 | Daniel Powers | Radiology | 6200 Wilshire Blvd Ste 1006, Los Angeles, CA 90048-5811 | 2007-01-31 |
| 1437248606 | Franklin G Woo | Radiology | 9902 Big Sur Dr, Huntington Beach, CA 92646-5312 | 2006-10-12 |
| Find all providers with the same taxonomy | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
Please comment or provide details below to improve the information on HI-DESERT P.E.T. & NUCLEAR IMAGING CENTER.
| 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.