DR. HEALTHY JAYANTILAL DESAI (NPI# 1639327315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639327315 |
| Entity Type | Individual |
| Full Name | DR. HEALTHY JAYANTILAL DESAI |
| Credential | M.D. |
| Practice Address |
1041 N China Lake Blvd B Ridgecrest CA 93555-3183 |
| Mailing Address |
1041 N China Lake Blvd C Ridgecrest CA 93555-3183 |
| Practice Telephone | 7604466404 |
| Practice Fax Number | 7604466415 |
| Mailing Telephone | 7604466404 |
| Mailing Fax Number | 7604466415 |
| Enumeration Date | 2008-09-05 |
| Last Update Date | 2012-03-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgery | A114098 | CA | Allopathic & Osteopathic Physicians |
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
A114098 | CA | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | BP10035982 | TX | Student, Health Care |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | P65752 | NY | Student, Health Care |
| Street Address |
1041 N CHINA LAKE BLVD B |
| City | RIDGECREST |
| State | CA |
| Zip Code | 93555-3183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518960327 | Barbara N Bass | Dermatology | 1041 N China Lake Blvd, Ste B, Ridgecrest, CA 93555-3183 | 2005-05-24 |
| 1689024473 | Kimberly Celeste Mouzon | Nurse Practitioner | 1041 N China Lake Blvd, Ridgecrest, CA 93555-3168 | 2016-06-13 |
| 1700103520 | Aisha Indria Rollins | Pediatrics | 1041 N China Lake Blvd, Suite B, Ridgecrest, CA 93555-3168 | 2010-05-04 |
| 1710200464 | Ridgecrest Women's Medical Practice | Clinic/Center | 1041 N China Lake Blvd, Suite C, Ridgecrest, CA 93555-3168 | 2010-03-09 |
| 1891834446 | William P. Cannata | Surgery | 1041 N China Lake Blvd, B, Ridgecrest, CA 93555-3183 | 2007-02-06 |
| 1013068162 | Avinash M. Mondkar M.d.,a Medical Corporation | Internal Medicine | 1041 N China Lake Blvd, Suite A, Ridgecrest, CA 93555-3168 | 2007-01-16 |
| 1174579056 | Ridgecrest Regional Hospital | Family Medicine | 1041 N China Lake Blvd, B, Ridgecrest, CA 93555-3183 | 2006-05-25 |
| 1326034273 | Maurice Dusol Jr. | Internal Medicine | 1041 N China Lake Blvd, B, Ridgecrest, CA 93555-3183 | 2005-09-26 |
| 1730185992 | Bobby Ray Miller Jr. | Obstetrics & Gynecology | 1041 N China Lake Blvd, Ste C, Ridgecrest, CA 93555-3189 | 2005-06-22 |
| 1033113006 | Pedro L Farinha | Internal Medicine | 1041 N China Lake Blvd, Ste A, Ridgecrest, CA 93555-3168 | 2005-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790321776 | Patrick Joseph Mccammon | Case Manager/Care Coordinator | 1400 N Norma, Ste 127, Ridgecrest, CA 93555 | 2019-11-25 |
| 1780170704 | Krista Mae Sanchez Tizon | Behavior Technician | 123 Grande Way, Suite B, Ridgecrest, CA 93555 | 2018-07-02 |
| 1245726348 | Shinta Desentia Fraya | Behavior Technician | 123 Grande Way Ste B, Ridgecrest, CA 93555 | 2018-07-02 |
| 1780114397 | Darci Turner | Occupational Therapy Assistant | 4309 W Weiman, Ridgecrest, CA 93555 | 2017-06-15 |
| 1700319407 | Telecare Corporation | Clinic/Center | 1141 Chelsea Street, Ridgecrest, CA 93555 | 2017-04-10 |
| 1245776236 | Katherine Gerow | Prevention Professional | 1131 Inyokern Rd, Ridgecrest, CA 93555 | 2017-01-13 |
| 1639552151 | Max Scott Higa | Social Worker | 1400 North Norma Street, Suite 133, Ridgecrest, CA 93555 | 2015-07-01 |
| 1184044703 | Ridgecrest Charter School | Speech-Language Pathologist | 325 S. Downs St., Ridgecrest, CA 93555 | 2014-04-22 |
| 1023366838 | Andrew Whalley | Occupational Therapist | 901 N.heritage Dr., Suite 106, Ridgecrest, CA 93555 | 2012-08-28 |
| 1831453026 | Andrew S Peters | Family Medicine | 1 Administration Circle, Stop 1311, Branch Clinic China Lake, Bldg 1403, Ridgecrest, CA 93555 | 2012-07-02 |
| Find all providers in zip 93555 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790341618 | Casey S Revenko | Orthopaedic Surgery | 2999 Regent St Ste 225, Berkeley, CA 94705-2117 | 2019-05-15 |
| 1225504301 | Amgad Alfred | Orthopaedic Surgery | 18145 Us Highway 18 Ste D, Apple Valley, CA 92307-2210 | 2018-10-16 |
| 1386136430 | Valley River Orthopedics and Sports Medicine | Orthopaedic Surgery | Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 | 2018-06-05 |
| 1073026696 | Optimal Physician Surgical Group | Orthopaedic Surgery | 25067 Jim Bridger Rd, Hidden Hills, CA 91302-1128 | 2017-11-06 |
| 1336669456 | Beach Cities Orthopedics Surgery Center, LLC | Orthopaedic Surgery | 400 S Sepulveda Blvd Ste 110, Manhattan Beach, CA 90266-6814 | 2017-06-20 |
| 1750818860 | Health Link Medical Group Inc | Orthopaedic Surgery | 899 Northgate Dr Ste 400, San Rafael, CA 94903-3667 | 2017-05-19 |
| 1962861476 | Mehta Orthopedics | Orthopaedic Surgery | 32145 Alvarado Niles Rd Ste 209, Union City, CA 94587-2930 | 2016-02-12 |
| 1649646282 | Bay Area Surgical Specialists, Inc. A Medical Corporation | Orthopaedic Surgery | 5924 Stoneridge Dr Ste 202, Pleasanton, CA 94588-5400 | 2015-08-18 |
| 1114346111 | Sean Robinson | Orthopaedic Surgery | 7551 Timberlake Way Ste 200, Sacramento, CA 95823-5422 | 2014-04-08 |
| 1851717938 | William R Campbell Do Prof Corp | Orthopaedic Surgery | 1 Daniel Burnham Ct Ste 365c, San Francisco, CA 94109-5490 | 2014-03-12 |
| Find all providers with the same taxonomy | ||||
| City | RIDGECREST |
| Zip Code | 93555 |
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| 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.