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DESERT VALLEY MEDICAL GROUP INC. NPI 1801848452


NPI Information

NPI: 1801848452
Provider Name: DESERT VALLEY MEDICAL GROUP, INC.

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

Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 05D2285568

Address:
16850 BEAR VALLEY RD
VICTORVILLE, CA
ZIP 92395
Phone: (760) 241-8000
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DESERT VALLEY MEDICAL GROUP, INC. is an internal medicine in Victorville, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DESERT VALLEY MEDICAL GROUP, INC. NPI is 1801848452. 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:

16850 BEAR VALLEY RD
VICTORVILLE, CA
ZIP 92395-794
Phone: (760) 241-8000

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 CLIA number assigned to this NPI record is 05D2285568 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/16/2006 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
1207L00000XAnesthesiologyNo
2207LP2900XAnesthesiologyPain MedicineNo
3207P00000XEmergency MedicineNo
4207Q00000XFamily MedicineNo
5207U00000XNuclear MedicineNo
6207V00000XObstetrics & GynecologyNo
7207X00000XOrthopaedic SurgeryNo
8207ZP0101XPathologyAnatomic PathologyNo
9208000000XPediatricsNo
10208100000XPhysical Medicine & RehabilitationNo
112085R0202XRadiologyDiagnostic RadiologyNo
12208600000XSurgeryNo
13208800000XUrologyNo
14208M00000XHospitalistNo
15207R00000XInternal 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
1GR0072090MEDICAIDCALIFORNIA

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.