| High Desert Medical Group | |
|
43839 15th St W Lancaster CA 93534-4756 | |
| (661) 945-5984 | |
| (661) 951-3192 |
| Full Name | High Desert Medical Group |
|---|---|
| Speciality | Clinic/Center |
| Location | 43839 15th St W, Lancaster, California |
| Authorized Official Name and Position | Charles Myaing Lim (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6619455984 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| High Desert Medical Group Po Box 7007 Lancaster CA 93539-7007 Ph: (661) 945-5984 | High Desert Medical Group 43839 15th St W Lancaster CA 93534-4756 Ph: (661) 945-5984 |
| NPI Number | 1720196702 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 09/02/2025 |
| Medicare PECOS PAC ID | 6103730569 |
|---|---|
| Medicare Enrollment ID | O20031118001191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720196702 | NPI | - | NPPES |
| GR0047931 | Medicaid | CA | |
| GR0047930 | Medicaid | CA |
| Provider Name | John M Peric |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1285664664 PECOS PAC ID: 9638070352 Enrollment ID: I20040115001187 |
| Provider Name | Casper T Glenn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1649315508 PECOS PAC ID: 3375445224 Enrollment ID: I20040122000438 |
| Provider Name | Martin Moradian |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1780631523 PECOS PAC ID: 2466444302 Enrollment ID: I20040331001706 |
| Provider Name | Denis H Latuno |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205841087 PECOS PAC ID: 6507849270 Enrollment ID: I20040611001434 |
| Provider Name | Roger A Moushabek |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073541157 PECOS PAC ID: 7719959162 Enrollment ID: I20040806001200 |
| Provider Name | Curtis C Hoggarth |
|---|---|
| Provider Type | Practitioner - Optometry |
| Provider Identifiers | NPI Number: 1134125321 PECOS PAC ID: 1355393646 Enrollment ID: I20050413000892 |
| Provider Name | John F Zambetti |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1275639379 PECOS PAC ID: 6709825490 Enrollment ID: I20050502001268 |
| Provider Name | William K Wong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316014392 PECOS PAC ID: 6002851854 Enrollment ID: I20050622001263 |
| Provider Name | Manuel Arroyo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508860412 PECOS PAC ID: 7618908716 Enrollment ID: I20050829000708 |
| Provider Name | Shankar N Hittalmani |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1437210879 PECOS PAC ID: 4688692981 Enrollment ID: I20051104000536 |
| Provider Name | Shamsundar Ramrattan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598968844 PECOS PAC ID: 4486672524 Enrollment ID: I20051107000792 |
| Provider Name | Brian M Grimm |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1871540815 PECOS PAC ID: 2264423003 Enrollment ID: I20051123000496 |
| Provider Name | Christine M Helbling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1558371567 PECOS PAC ID: 9739197278 Enrollment ID: I20060324000669 |
| Provider Name | Richard L Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861464299 PECOS PAC ID: 7517960008 Enrollment ID: I20060823000404 |
| Provider Name | Mihir B Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942210943 PECOS PAC ID: 7214933456 Enrollment ID: I20061011000791 |
| Provider Name | Nicole C Winner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326136862 PECOS PAC ID: 9133128309 Enrollment ID: I20061216000072 |
| Provider Name | Rebecca Wind |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1962569210 PECOS PAC ID: 1254333818 Enrollment ID: I20070209000651 |
| Provider Name | Franz Gliederer |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1831318765 PECOS PAC ID: 7911092275 Enrollment ID: I20071001000853 |
| Provider Name | Peter J Stoops |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518912526 PECOS PAC ID: 4688743958 Enrollment ID: I20080513000639 |
| Provider Name | Anthony J Dulgeroff |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1720199763 PECOS PAC ID: 9931265402 Enrollment ID: I20090309000045 |
| Provider Name | Hovsep G Mahdessian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1659544203 PECOS PAC ID: 9133279284 Enrollment ID: I20090610000584 |
| Provider Name | Hosseingholi Ziaee |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1477703569 PECOS PAC ID: 9537210885 Enrollment ID: I20090625000474 |
| Provider Name | Vasana Krasaesin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255518338 PECOS PAC ID: 2264579580 Enrollment ID: I20091019000643 |
| Provider Name | Vincent A Ho |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124138359 PECOS PAC ID: 8123142114 Enrollment ID: I20100827000218 |
| Provider Name | Davy L Figueroa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780794735 PECOS PAC ID: 0244354868 Enrollment ID: I20100902000477 |
| Provider Name | Don V Parazo |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861505265 PECOS PAC ID: 4082701438 Enrollment ID: I20100903000772 |
| Provider Name | Charles M Lim |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1205947231 PECOS PAC ID: 0749194108 Enrollment ID: I20100922001213 |
| Provider Name | Marvin L Ginsburg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508976580 PECOS PAC ID: 8325231293 Enrollment ID: I20101023000185 |
| Provider Name | Steven P Grahek |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1801963772 PECOS PAC ID: 5799974374 Enrollment ID: I20110113000126 |
| Provider Name | Cherie Vanhuse |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619165057 PECOS PAC ID: 5193892164 Enrollment ID: I20110323000019 |
| Provider Name | Tarek T Moqattash |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1801029483 PECOS PAC ID: 6002093200 Enrollment ID: I20110615000189 |
| Provider Name | Sami Nafoosi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164713244 PECOS PAC ID: 5890963821 Enrollment ID: I20110719000402 |
| Provider Name | Aelita Kennedy |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1366684037 PECOS PAC ID: 2264604743 Enrollment ID: I20111005000130 |
| Provider Name | Jerome Marcos |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1538462999 PECOS PAC ID: 0143484626 Enrollment ID: I20120613000354 |
| Provider Name | Marlon S Russell |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1497039119 PECOS PAC ID: 3072766807 Enrollment ID: I20130103000437 |
| Provider Name | Naruchon Engkatanakorn |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073749792 PECOS PAC ID: 3274686456 Enrollment ID: I20130513000286 |
| Provider Name | Cecil A Shikiya |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1861760977 PECOS PAC ID: 2769619873 Enrollment ID: I20131217001550 |
| Provider Name | Lior Manasherian Yaccobe |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1780992511 PECOS PAC ID: 3678701364 Enrollment ID: I20131231000837 |
| Provider Name | Harikrishna J Makani |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1407169485 PECOS PAC ID: 6002030517 Enrollment ID: I20140623002754 |
| Provider Name | Faraz A Momin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447516810 PECOS PAC ID: 6305076944 Enrollment ID: I20151210001255 |
| Provider Name | Alden Gajo |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1306170972 PECOS PAC ID: 0244539724 Enrollment ID: I20160504002776 |
| Provider Name | Sourav Das |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174805279 PECOS PAC ID: 2860614617 Enrollment ID: I20160923002045 |
| Provider Name | Peter Sungjin Pak |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1588955694 PECOS PAC ID: 4880980515 Enrollment ID: I20170207002001 |
| Provider Name | Steven M Knapik |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1992882955 PECOS PAC ID: 3678509130 Enrollment ID: I20170404000079 |
| Provider Name | Karen Lockheart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831638824 PECOS PAC ID: 5991082760 Enrollment ID: I20170503002003 |
| Provider Name | Rachel Marie Ryan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366969867 PECOS PAC ID: 0446525505 Enrollment ID: I20170929001428 |
| Provider Name | Kirsten A Ware |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831455807 PECOS PAC ID: 1658674767 Enrollment ID: I20180201002416 |
| Provider Name | Jacob Francis Lentz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1730573635 PECOS PAC ID: 7315207693 Enrollment ID: I20180206000589 |
| Provider Name | Tania E Sedano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518453778 PECOS PAC ID: 3072865518 Enrollment ID: I20181010001905 |
| Provider Name | Peggy T Leugue |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821573981 PECOS PAC ID: 0143568378 Enrollment ID: I20190214000702 |
| Provider Name | Varun Shahi |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1487017497 PECOS PAC ID: 6608108899 Enrollment ID: I20191021001408 |
| Provider Name | Kenneth D Terry |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1144712902 PECOS PAC ID: 7719312057 Enrollment ID: I20200115001604 |
| Provider Name | Williane D Mendiola |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821577743 PECOS PAC ID: 7719225424 Enrollment ID: I20200207000920 |
| Provider Name | Michelle De Ynchausti |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609416205 PECOS PAC ID: 5890121818 Enrollment ID: I20200210002349 |
| Provider Name | Mitra B Kariminaser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518328442 PECOS PAC ID: 5395174577 Enrollment ID: I20200409001719 |
| Provider Name | Jackline Sutherland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861882029 PECOS PAC ID: 1153648217 Enrollment ID: I20200603000537 |
| Provider Name | Gisela Regalado Paredes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629698253 PECOS PAC ID: 3173930732 Enrollment ID: I20210325002491 |
| Provider Name | Ankita Rai |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831794536 PECOS PAC ID: 5799176947 Enrollment ID: I20211222001154 |
| Provider Name | Michael Chunghan Ling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255990461 PECOS PAC ID: 5698166502 Enrollment ID: I20220104002000 |
| Provider Name | Maria Elena Morgan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093473282 PECOS PAC ID: 4284020264 Enrollment ID: I20220330002042 |
| Provider Name | Cynthia Diane Raymond |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508226663 PECOS PAC ID: 0042693731 Enrollment ID: I20220812001295 |
| Provider Name | Qanwarpartap S Sidhu |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093341968 PECOS PAC ID: 1456737212 Enrollment ID: I20220930001533 |
| Provider Name | Zulianna Ibrahim |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265093108 PECOS PAC ID: 9931536034 Enrollment ID: I20221129001442 |
| Provider Name | Tristen Marie Lopez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902519358 PECOS PAC ID: 7618341942 Enrollment ID: I20230328000562 |
| Provider Name | Andrew Crystian Aguirre |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215644232 PECOS PAC ID: 2668846924 Enrollment ID: I20230328001654 |
| Provider Name | Renada Jemese Scott Nash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447903869 PECOS PAC ID: 4385009737 Enrollment ID: I20230508002133 |
| Provider Name | Daphany Yolanda Connor |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942992532 PECOS PAC ID: 7113380320 Enrollment ID: I20230905003058 |
| Provider Name | Andrew Pawliwec |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831759521 PECOS PAC ID: 6507195914 Enrollment ID: I20230913000682 |
| Provider Name | Miguel Angel Navarro |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1538747217 PECOS PAC ID: 7315312881 Enrollment ID: I20230921001387 |
| Provider Name | Navid Mahabadi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1679193221 PECOS PAC ID: 5496154916 Enrollment ID: I20231024001608 |
| Provider Name | Torrence Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023694684 PECOS PAC ID: 2466835053 Enrollment ID: I20231031001711 |
| Provider Name | Christopher Robin Briones |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154909661 PECOS PAC ID: 6901288117 Enrollment ID: I20240106000793 |
| Provider Name | Lizette Lazabal Schaefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639921232 PECOS PAC ID: 6901344886 Enrollment ID: I20240812000956 |
| Provider Name | Huy Alex Quang Duong |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1942941836 PECOS PAC ID: 1951848530 Enrollment ID: I20250513003749 |
County Of Los Angeles Auditor Controller Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 E Avenue I, Lancaster, CA 93535 Phone: 661-948-8581 | |
K.sivakumar,m.d.,inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44215 15th St W, Suite # 307, Lancaster, CA 93534 Phone: 661-949-5908 Fax: 661-949-5594 | |
County Of Los Angeles Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 E Avenue I, Lancaster, CA 93535 Phone: 661-471-4280 | |
County Of Los Angeles Auditor Controller Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 335 E Avenue I, Lancaster, CA 93535 Phone: 661-948-8581 | |
Complete Family Care Medical Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 867 W Lancaster Blvd, Lancaster, CA 93534 Phone: 661-945-7181 Fax: 661-942-6008 | |
Kumarasamy Sivakumar M.d. ,inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 44215 N. 15th St. West, Lancaster, CA 93534 Phone: 661-949-5908 | |
Ark Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1206 W Avenue J # 220b, Lancaster, CA 93534 Phone: 951-617-0179 Fax: 951-582-2300 |