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HIGH DESERT NEPHROLOGY MEDICAL ASSOCIATES, INC.
NPI 1407865652
Internal Medicine - Nephrology in Victorville, CA

Active since August 05, 2006
12675 HESPERIA RD, VICTORVILLE, CA 92395(760) 241-3306(760) 241-5037 Get Directions Write a Review

NPPES record last updated: September 8, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About High Desert Nephrology Medical Associates, Inc. NPPES

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

HIGH DESERT NEPHROLOGY MEDICAL ASSOCIATES, INC. (NPI 1407865652) is a healthcare organization registered as a nephrology in Victorville, California and active in the NPI registry since August 2006. The organization lists Jay Eriah Shankar, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407865652
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameHIGH DESERT NEPHROLOGY MEDICAL ASSOCIATES, INC.
Location Address12675 HESPERIA RDVictorville, CA 92395-5878
Mailing Address12675 Hesperia RdVictorville, CA 92395-5878 · (760) 241-3306 · Fax (760) 241-5037
Phone(760) 241-3306
Fax(760) 241-5037
Organization SubpartNo
Authorized OfficialJay Eriah ShankarCeo · (760) 241-3306
Enumeration DateAugust 5, 2006
Last NPPES UpdateSeptember 8, 2010
✔ NPI 1407865652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
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.
12675 HESPERIA RD, Victorville, CA 92395
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Other Identifiers 2

Medicaid1407865652CA
Medicare UPINZZZ26953Z

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 Nephrology Medical Associates, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to High Desert Nephrology Medical Associates, Inc., which bills Medicare for the services they deliver. Of these, 4 practice at this address and 6 within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Prashanth Kumar, M.D.
Nephrology
NPI 1821293382
12675 HESPERIA RD
Victorville, CA 92395
(760) 241-3306
✔ PECOS✔ Accepts MedicareSame address
Hosameldin Madkour, M.D.
Neurology
NPI 1306881099
12675 HESPERIA RD
Victorville, CA 92395
(760) 241-3306
✔ PECOS✔ Accepts MedicareSame address
Opeyemi Oladele, M.D.
Nephrology
NPI 1801154380
12675 HESPERIA RD
Victorville, CA 92395
(760) 241-3306
✔ PECOS✔ Accepts MedicareSame address
Jay Shankar, MD
Nephrology
NPI 1164431318
12675 HESPERIA RD
Victorville, CA 92395
(760) 241-3306
✔ PECOS✔ Accepts MedicareSame address
Martha Benitez
Nurse Practitioner
NPI 1760268882
12998 HESPERIA RD
Victorville, CA 92395
(760) 780-4960
✔ PECOS✔ Accepts Medicare0.4 mi
Pooja Tanjavour, M.D.
Internal Medicine
NPI 1972919983
12276 HESPERIA RD STE D
Victorville, CA 92395
(760) 241-8000
✔ PECOS✔ Accepts Medicare0.5 mi
Dominique Mall, MD.
Internal Medicine
NPI 1821043423
11211 SEPULVEDA BLVD
Mission Hills, CA 91345
(818) 365-9531
✔ PECOS✔ Accepts Medicare69 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 Nephrology Medical Associates, Inc.'s NPI number?

The NPI number for High Desert Nephrology Medical Associates, Inc. is 1407865652. It was assigned to this organization in the NPPES registry on August 5, 2006.

Where is High Desert Nephrology Medical Associates, Inc. located?

High Desert Nephrology Medical Associates, Inc. is located at 12675 Hesperia Rd, Victorville, CA 92395. The listed phone number is (760) 241-3306.

What is High Desert Nephrology Medical Associates, Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is High Desert Nephrology Medical Associates, Inc. enrolled in Medicare?

Yes. High Desert Nephrology Medical Associates, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through High Desert Nephrology Medical Associates, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to High Desert Nephrology Medical Associates, Inc.. 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. The largest specialties are Nephrology (3), Internal Medicine (2) and Neurology (1). Of these, 4 practice at this address and 6 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 Nephrology Medical Associates, Inc. was last updated on September 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.