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DESERT VALLEY MEDICAL GROUP INC. NPI 1912945114


NPI Information

NPI: 1912945114
Provider Name: DESERT VALLEY MEDICAL GROUP, INC.

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

Classification: Preventive Medicine - 2083P0500X
Entity Type: Organization

Specialization: Preventive Medicine/Occupational Environmental Medicine

Address:
12401 HESPERIA RD
VICTORVILLE, CA
ZIP 92395
Phone: (760) 241-8000
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DESERT VALLEY MEDICAL GROUP, INC. is a preventive medicine/occupational environmental medicine preventive medicine in Victorville, CA. The provider is a preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. DESERT VALLEY MEDICAL GROUP, INC. NPI is 1912945114. 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:

12401 HESPERIA RD
VICTORVILLE, CA
ZIP 92395-707
Phone: (760) 241-8000

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

The enumeration date for this NPI number is 6/2/2006 and was last updated on 4/27/2020.


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
12083P0500XPreventive MedicinePreventive Medicine/Occupational Environmental MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0072098MEDICAIDCALIFORNIA
24584430004OTHERCALIFORNIADMERC

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: 11/14/2023

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