Healthcare Provider Details
I. General information
NPI: 1366308199
Provider Name (Legal Business Name): HIGH DESERT MEDICAL TRANSPORTATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/24/2025
Last Update Date: 12/24/2025
Certification Date: 12/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
143 PANAMINT AVE
RIDGECREST CA
93555-3829
US
IV. Provider business mailing address
3001 OAKRIDGE DR
BAKERSFIELD CA
93306-2415
US
V. Phone/Fax
- Phone: 661-472-4881
- Fax:
- Phone: 661-472-4881
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 343900000X |
| Taxonomy | Non-emergency Medical Transport (VAN) |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
VARTAN
AKOPYAN
Title or Position: CEO
Credential:
Phone: 661-472-4881