HIGH DESERT PATHOLOGY MEDICAL GROUP
NPI 1407191356
Pathology - Anatomic Pathology & Clinical Pathology in Victorville, CA

Active since December 04, 2012
16850 BEAR VALLEY RD, VICTORVILLE, CA 92395(760) 843-6262 Get Directions Write a Review

NPPES record last updated: December 4, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About High Desert Pathology Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HIGH DESERT PATHOLOGY MEDICAL GROUP (NPI 1407191356) is a healthcare organization registered as an anatomic pathology & clinical pathology in Victorville, California and active in the NPI registry since December 2012. The organization lists Reda M Tadros, President, as its authorized official.

NPPES Registry Identity

NPI1407191356
Entity TypeOrganization
Primary Taxonomy207ZP0102X
Legal Business NameHIGH DESERT PATHOLOGY MEDICAL GROUP
Location Address16850 BEAR VALLEY RDVictorville, CA 92395-5794
Mailing AddressPo Box 10076Van Nuys, CA 91410-0076 · (805) 578-8300 · Fax (805) 578-3911
Organization SubpartNo
Authorized OfficialReda M TadrosPresident · (760) 843-6262
Enumeration DateDecember 4, 2012
✔ NPI 1407191356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
Licenses✔ Licensed in CA · 05D0643174✔ Licensed in CA · 05D0563949✔ Licensed in CA · 05D0562204
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
16850 BEAR VALLEY RD, Victorville, CA 92395

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

High Desert Pathology Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

9

Medicare enrollment records show 9 clinicians reassign Medicare billing to High Desert Pathology Medical Group, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (9)

Pathology
NPI 1245506989
15248 ELEVENTH ST
Victorville, CA 92395
(914) 217-5756
✔ PECOS4.4 mi
Pathology
NPI 1689904237
5451 WALNUT AVE
Chino, CA 91710
(909) 464-8600
✔ PECOS✔ Accepts Medicare38 mi
Pathology
NPI 1043204712
1350 W COVINA BLVD
San Dimas, CA 91773
(909) 599-6811
✔ PECOS40 mi
Pathology
NPI 1871811091
1500 DUARTE RD
Duarte, CA 91010
(626) 256-4673
✔ PECOS✔ Accepts Medicare45 mi
Pathology
NPI 1396909966
3405 E HAMMOND CIR UNIT # F
Orange, CA 92869
(714) 633-7716
✔ PECOS✔ Accepts Medicare55 mi
Pathology
NPI 1578611380
1001 N TUSTIN AVE
Santa Ana, CA 92705
(714) 835-3555
✔ PECOS✔ Accepts Medicare58 mi
Pathology
NPI 1225168032
LAC-USC MEDICAL CENTER 1200 N. STATE STREET ,ROOM 2900
Los Angeles, CA 90033
(323) 226-7148
✔ PECOS✔ Accepts Medicare60 mi
Pathology
NPI 1437128972
7592 METROPOLITAN DR STE 406
San Diego, CA 92108
(619) 297-4900
✔ PECOS✔ Accepts Medicare117 mi
Pathology
NPI 1164921763
6655 ALVARADO RD
San Diego, CA 92120
(619) 286-3270
✔ PECOS✔ Accepts Medicare118 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is High Desert Pathology Medical Group's NPI number?

The NPI number for High Desert Pathology Medical Group is 1407191356. It was assigned to this organization in the NPPES registry on December 4, 2012.

Where is High Desert Pathology Medical Group located?

High Desert Pathology Medical Group is located at 16850 Bear Valley Rd, Victorville, CA 92395. The listed phone number is (760) 843-6262.

What is High Desert Pathology Medical Group's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is High Desert Pathology Medical Group enrolled in Medicare?

Yes. High Desert Pathology Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through High Desert Pathology Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 9 clinicians, all in Pathology, reassign their Medicare billing to High Desert Pathology Medical Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for High Desert Pathology Medical Group was last updated on December 4, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.