Provider Type Icon

DESERT VALLEY MEDICAL GROUP INC. NPI 1295031052


NPI Information

NPI: 1295031052
Provider Name: DESERT VALLEY MEDICAL GROUP, INC.

Former Legal Business Name: PRIMECARE MEDICAL GROUP OF DESERT VALLEY, INC.

Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
19181 TOWN CENTER DR
APPLE VALLEY, CA
ZIP 92308
Phone: (760) 241-8000
Get Directions

DESERT VALLEY MEDICAL GROUP, INC. is a general practice in Apple Valley, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DESERT VALLEY MEDICAL GROUP, INC. NPI is 1295031052. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Primecare Medical Group Of Desert Valley, Inc..

The provider's business location address is:

19181 TOWN CENTER DR
APPLE VALLEY, CA
ZIP 92308-989
Phone: (760) 241-8000
Fax: (760) 962-8021

The provider's authorized official is Kavitha Bhatia .
The authorized official title is Owner and has the following contact phone number (760) 241-8000.

The enumeration date for this NPI number is 1/26/2011 and was last updated on 8/23/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207R00000XInternal MedicineNo
3363LP2300XNurse PractitionerPrimary CareNo
4208D00000XGeneral PracticeCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.