HIGH DESERT VEIN AND VASCULAR P C
NPI 1588402887
Surgery - Vascular Surgery in Apple Valley, CA

Active since July 19, 2024
16008 KAMANA RD STE 101, APPLE VALLEY, CA 92307(760) 683-2199(888) 355-9670 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About High Desert Vein And Vascular P C NPPES

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

HIGH DESERT VEIN AND VASCULAR P C (NPI 1588402887) is a healthcare organization registered as a vascular surgery in Apple Valley, California and active in the NPI registry since July 2024. The organization maintains a secondary practice location in San Bernardino and lists Omar Z Tahir, President, as its authorized official.

NPPES Registry Identity

NPI1588402887
Entity TypeOrganization
Primary Taxonomy2086S0129X
Legal Business NameHIGH DESERT VEIN AND VASCULAR P C
Location Address16008 KAMANA RD STE 101Apple Valley, CA 92307-1376
Mailing Address18092 Wika Rd Ste 220Apple Valley, CA 92307-2132 · (760) 515-6260 · Fax (949) 863-8505
Fax(888) 355-9670
Organization SubpartNo
Authorized OfficialOmar Z TahirPresident · (760) 515-6260
Enumeration DateJuly 19, 2024
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1588402887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
16008 KAMANA RD STE 101, Apple Valley, CA 92307

Secondary Practice Location 1

Location 11376 N Waterman AveSan Bernardino, CA 92404-5313 · Phone (760) 683-2199 · Fax (888) 355-9670

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 Vein And Vascular P C is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to High Desert Vein And Vascular P C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Vascular Surgery
NPI 1316102544
16008 KAMANA RD STE 101
Apple Valley, CA 92307
(760) 683-2199
✔ PECOS✔ Accepts MedicareSame address

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 Vein And Vascular P C's NPI number?

The NPI number for High Desert Vein And Vascular P C is 1588402887. It was assigned to this organization in the NPPES registry on July 19, 2024.

Where is High Desert Vein And Vascular P C located?

High Desert Vein And Vascular P C is located at 16008 Kamana Rd Ste 101, Apple Valley, CA 92307. The listed phone number is (760) 683-2199.

What is High Desert Vein And Vascular P C's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is High Desert Vein And Vascular P C enrolled in Medicare?

Yes. High Desert Vein And Vascular P C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through High Desert Vein And Vascular P C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Vascular Surgery) reassigns their Medicare billing to High Desert Vein And Vascular P C. 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. 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 Vein And Vascular P C was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.