HIGH DESERT EYE SURGERY CENTER, LLC
NPI 1588203988
Clinic/Center - Ambulatory Surgical in Apple Valley, CA

NPI Status: Active since January 02, 2020

Contact Information

16030 KAMANA ROAD
APPLE VALLEY, CA
ZIP 92307
Phone: (760) 946-0618

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D2180673
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-17-2026

About HIGH DESERT EYE SURGERY CENTER, LLC

This page provides the complete NPI Profile along with additional information for High Desert Eye Surgery Center, Llc, a provider established in Apple Valley, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1588203988 assigned on January 2020. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Clifton Chad Bazhaw (Chief Revenue Officer)

NPI
1588203988
Provider Name
HIGH DESERT EYE SURGERY CENTER, LLC
Entity Type
Organization
Location Address
16030 KAMANA ROAD APPLE VALLEY, CA 92307
Location Phone
(760) 946-0618
Mailing Address
555 N 13TH AVE UPLAND, CA 91786
Mailing Phone
(092) 772-4209
Mailing Fax
(909) 206-1097
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-02-2020
Last Update Date
01-14-2026
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QS0132XAmbulatory Health Care Facilities

Clinic/Center
Ophthalmologic Surgery

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CLIFTON CHAD BAZHAW

Authorized Official Title
CHIEF REVENUE OFFICER
Authorized Official Phone
(214) 893-0471

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Complex removal of cataract with insertion of prosthetic lens

This procedure involves removing a cloudy lens (cataract) from your eye and replacing it with a clear, artificial lens. It helps restore vision that has been affected by the cataract. The operation is usually done under local anesthesia.

This service was performed 23 times for 21 patients

Removal of cataract with insertion of prosthetic lens

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

This service was performed 107 times for 73 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2180673
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
March 18, 2024
Certificate Expiration Date
March 17, 2026
Laboratory Director
MOHAN S CHANDRA
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to High Desert Eye Surgery Center, Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1588203988, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
8
Unchanged
Pos 5
2
Doubled → 4
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
9
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 2 → 4 3 → 6 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 6 + 8 + 4 + 0 + 6 + 9 + 1 + 6 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1588203988.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588203988, enumerated as an "organization" on January 02, 2020.

The provider is located at 16030 KAMANA ROAD APPLE VALLEY, CA 92307 and the phone number is (760) 946-0618.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.