Provider Type Icon

HIGH DESERT NEPHROLOGY MEDICAL ASSOCIATES INC. NPI 1508196759


NPI Information

NPI: 1508196759
Provider Name: HIGH DESERT NEPHROLOGY MEDICAL ASSOCIATES, INC.
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 05D0574648

Address:
655 S. 7TH AVE.
BARSTOW, CA
ZIP 92311
Phone: (760) 256-3918
Get Directions

HIGH DESERT NEPHROLOGY MEDICAL ASSOCIATES, INC. is a nephrology internal medicine in Barstow, CA. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. HIGH DESERT NEPHROLOGY MEDICAL ASSOCIATES, INC. NPI is 1508196759. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

655 S. 7TH AVE.
BARSTOW, CA
ZIP 92311-001
Phone: (760) 256-3918
Fax: (760) 256-5217

The provider's authorized official is Jay Eriah Shankar .
The authorized official title is Owner/medical Director and has the following contact phone number (760) 241-3306.

The CLIA number assigned to this NPI record is 05D0574648 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/12/2010 and was last updated on 2/23/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyCALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ26953ZMEDICARE UPIN
21508196759MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.