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DESERT VALLEY MEDICAL GROUP INC. NPI 1841804101


NPI Information

NPI: 1841804101
Provider Name: DESERT VALLEY MEDICAL GROUP, INC.

Doing Business As: DESERT VALLEY MEDICAL GROUP, INC.

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D1087624

Address:
11883 AMETHYST RD STE 203
VICTORVILLE, CA
ZIP 92392
Phone: (760) 241-8000
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DESERT VALLEY MEDICAL GROUP, INC. is a family medicine in Victorville, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DESERT VALLEY MEDICAL GROUP, INC. NPI is 1841804101. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Desert Valley Medical Group, Inc..

The provider's business location address is:

11883 AMETHYST RD STE 203
VICTORVILLE, CA
ZIP 92392-224
Phone: (760) 241-8000

The provider's authorized official is Marie Langley .
The authorized official title is Ipa Administrator and has the following contact phone number (760) 900-2155.

The CLIA number assigned to this NPI record is 05D1087624 - ambulance with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/3/2020 and was last updated on 4/21/2021.


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 MedicineYes
2207R00000XInternal MedicineNo
3208000000XPediatricsNo

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

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.