=====================================================
General NPI Number Information
=====================================================
NPI Number | 1699629261
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | UNITY OF HIGH DESERT SURGERY CENTER
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/23/2026
-----------------------------------------------------
Last Update Date | 02/23/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 12241 INDUSTRIAL BLVD STE 101
-----------------------------------------------------
City | VICTORVILLE
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92395-7795
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 760-683-2199
-----------------------------------------------------
Fax | 888-355-9670
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 18092 WIKA RD STE 220
-----------------------------------------------------
City | APPLE VALLEY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92307-2132
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 760-515-6260
-----------------------------------------------------
Fax | 949-863-8505
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | OMAR TAHIR
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 760-515-6260
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2086S0129X
-----------------------------------------------------
Taxonomy Name | Vascular Surgery Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------