Organization
HALO MEDICAL GROUP
Active
Other names
DESERT MEDICAL IMAGING
Organization subpart
No
Provider details
NPI number
Authorized official
CORY HAMMOND (CFO)
(760) 776-8989
Entity
Organization
Contact information
Practice address
74785 US HIGHWAY 111, SUITE 101, INDIAN WELLS, CA 92210-7128
(760) 776-8989
(760) 501-0311
Mailing address
PO BOX 841163, LOS ANGELES, CA 90084-1163
(760) 776-8989
(760) 779-8073
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
FNP25453
CA
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
208800000X
Urology Physician
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK9031
RAILROAD MEDICARE
CA
05
—
GR0083070
—
CA
05
—
GR0083071
—
CA
05
—
GR0083072
—
CA
05
—
GR0083073
—
CA
01
—
ZZZ02402Z
BLUE SHIELD PIN
CA
01
—
ZZZ05859Z
BLUE CROSS
CA
01
—
ZZZ57290Z
BLUE SHIELD PIN
CA
01
—
ZZZ64094Z
BLUE SHIELD PIN
CA
Enumeration date
01/23/2007
Last updated
04/22/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up