HI DESERT RADIOLOGY PHYSICIAN – NPI #1477683951
Clinic/Center

HI DESERT RADIOLOGY PHYSICIAN is an AHC clinic located in JOSHUA TREE, CA. NPPES has assigned the NPI number 1477683951 to HI DESERT RADIOLOGY PHYSICIAN on March 06, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “HI DESERT RADIOLOGY PHYSICIAN” is a dba name, the actual legal business name for this organization is HI-DESERT MEDICAL CENTER. The primary taxonomy selected by this provider is 261QR0200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Radiology

The NPI profile was previously updated about 18 years ago on Jun 25, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for HI DESERT RADIOLOGY PHYSICIAN below.

NPI Profile for
HI-DESERT MEDICAL CENTER

NPI Number
1477683951
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
HI-DESERT MEDICAL CENTER
Doing Business As (dba): HI DESERT RADIOLOGY PHYSICIAN
Primary location
6601 WHITE FEATHER RD
JOSHUA TREE, CA 92252-6607
Phone: (760) 366-6355 Fax: (760) 366-6364
Mailing address
43500 RIDGE PARK DR
#102
TEMECULA, CA 92590-3624
Phone: (951) 699-0303 Fax: (951) 699-0603
Organization Subpart
No
Authorized Official
THOMAS DUDA
CFO
Phone: (760) 366-6421
Updated
Identifiers

Identifiers for HI DESERT RADIOLOGY PHYSICIAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERBLUE SHIELDCAZZZ35026Z
OTHERMEDICAL BOARD FICTITIOUSCAFNP31524
MEDICAIDCAGR0095320
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QR0200X
- Clinic/Center / Radiology (Primary)		 CA 240000231

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.