DESERT VALLEY MEDICAL GROUP, INC. (NPI# 1063465474) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063465474 |
| Entity Type | Organization |
| Organization Name | DESERT VALLEY MEDICAL GROUP, INC. |
| Other Organization Name | PRIMECARE MEDICAL GROUP OF DESERT VALLEY, INC. |
| Practice Address |
16716 Bear Valley Rd Victorville CA 92395-5797 |
| Mailing Address |
16850 Bear Valley Rd Victorville CA 92395-5794 |
| Practice Telephone | 7602418000 |
| Mailing Telephone | 7602418000 |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2020-04-27 |
| Authorized Official Name | DR. KAVITHA BHATIA (OWNER) |
| Authorized Official Telephone | 7602418000 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | CC8406 | 01 |
| Other Name | Type Code |
|---|---|
| Primecare Medical Group of Desert Valley, Inc. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841804101 | Desert Valley Medical Group, Inc. | Anesthesiology | 11883 Amethyst Rd Ste 202, Victorville, CA 92392-9225 | 2020-09-03 |
| 1295031052 | Desert Valley Medical Group, Inc. | Family Medicine | 19181 Town Center Dr, Apple Valley, CA 92308-8989 | 2011-01-26 |
| 1912945114 | Desert Valley Medical Group, Inc. | Preventive Medicine | 12401 Hesperia Rd, Victorville, CA 92395-7707 | 2006-06-02 |
| 1639117864 | Desert Valley Medical Group, Inc. | Physical Therapist | 12421 Hesperia Rd, Victorville, CA 92395-7703 | 2006-06-02 |
| 1114973914 | Desert Valley Medical Group, Inc. | Internal Medicine | 17450 Main St, Hesperia, CA 92345-6298 | 2006-05-25 |
| 1144272717 | Desert Valley Medical Group, Inc. | Internal Medicine | 14214 Main St, Hesperia, CA 92345-4632 | 2006-05-16 |
| 1942250873 | Desert Valley Medical Group, Inc. | Preventive Medicine | 11499 Bartlett Ave, Adelanto, CA 92301-1902 | 2006-05-11 |
| 1811949548 | Desert Valley Medical Group, Inc. | Family Medicine | 12276 Hesperia Rd, Victorville, CA 92395-5838 | 2006-05-17 |
| 1801848452 | Desert Valley Medical Group, Inc. | Anesthesiology | 16850 Bear Valley Rd, Victorville, CA 92395-5794 | 2006-05-16 |
| Street Address |
16716 BEAR VALLEY RD |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-5797 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174619076 | Alma Y Gepford | Dietitian, Registered | 16716 Bear Valley Rd, Victorville, CA 92395-5797 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837966 | Desert Ridge Transitional Care Center, Lp | Skilled Nursing Facility | 13300 11th Avenue, Victorville, CA 92395 | 2020-06-26 |
| 1376179093 | Catherine Ward | Speech-Language Pathologist | 13275 Mauka Ct, Victorville, CA 92395 | 2020-03-13 |
| 1174019228 | Laura Mercado Halterman | Family Medicine | 16519 Victor St Ste 307, Victorville, CA 92395 | 2018-07-02 |
| 1306337829 | Stephanie Ann Kruger | Behavior Technician | Sunny Days Inc 3602 Inland Empire Blvd., Ontario, CA 92395 | 2018-05-21 |
| 1861903924 | Debra L Andersen | Clinic/Center | 12830 Hesperia Road, Suite C, D, E, Victorville, CALIFORNIA 92395 | 2017-10-17 |
| 1790202141 | Joshua Powers | Physician Assistant | 12550 Hesperia Rd Ste 101, Victorville, CA 92395 | 2017-08-26 |
| 1043759491 | Kemp Individual & Family Therapy, Inc. | Marriage & Family Therapist | 14075 Hesperia Road, Suite 101, Victorville, CA 92395 | 2017-02-17 |
| 1740725969 | Abem Transportation Inc | Non-emergency Medical Transport (VAN) | 15000 7th St Ste F208, Victorville, CA 92395 | 2016-12-23 |
| 1447669379 | Tracie Girard | Nurse Practitioner | 17330 Bear Valley Road, Suite A106, Victorville, CA 92395 | 2014-08-05 |
| 1093153215 | Mitesh Patel | Surgery | 13010 Hesperia Rd Ste 400, Victorville, CA 92395 | 2013-06-10 |
| Find all providers in zip 92395 | ||||
| Taxonomy Code | 133V00000X |
| Grouping | Dietary & Nutritional Service Providers |
| Classification | Dietitian, Registered |
| A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor’s degree at a US regionally accredited university or college and course work approved by The American Dietetic Association (ADA); an ADA-accredited or approved, supervised practice program, typically 6 to 12 months in length; a national examination administered by the Commission on Dietetic Registration; and continuing professional educational requirements to maintain registration. |
| Notes: Source: The American Dietetic Association. Becoming a Registered Dietitian – a food and nutrition expert. Chicago, IL: The American Dietetic Association, July 1997. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518583749 | Elsa Mesina | Dietitian, Registered | 13520 Third Ave Apt 1504, Victorville, CA 92395-5286 | 2020-06-23 |
| 1174184972 | Saude Consulting Services, LLC | Dietitian, Registered | 15428 Civic Dr Ste 245, Victorville, CA 92392-2383 | 2019-06-24 |
| 1912447061 | Misty Abrantes | Dietitian, Registered | 14973 Hesperia Rd, Victorville, CA 92395-3923 | 2017-03-07 |
| 1174619076 | Alma Y Gepford | Dietitian, Registered | 16716 Bear Valley Rd, Victorville, CA 92395-5797 | 2006-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760083448 | Fuad Al Qudsi | Dietitian, Registered | 25874 Carmel Knolls Dr, Carmel, CA 93923-8830 | 2020-11-08 |
| 1700487535 | Katherine Zanville | Dietitian, Registered | 4928 Bellaire Ave, Valley Village, CA 91607-3419 | 2020-11-06 |
| 1760083711 | Gabriela E Zeagler | Dietitian, Registered | 1522 Halifax Way, El Dorado Hills, CA 95762-5841 | 2020-11-05 |
| 1427659796 | Yun Chieh Huang | Dietitian, Registered | 733 W Naomi Ave, Arcadia, CA 91007-7561 | 2020-11-03 |
| 1497356794 | Jelena Etemovic | Dietitian, Registered | 2517 S Alma St Apt 1, San Pedro, CA 90731-5738 | 2020-11-03 |
| 1588264337 | Apple Red Nutrition Services | Dietitian, Registered | 357 W. 2nd St, Suite #2, Loma Linda, CA 92354 | 2020-10-30 |
| 1912507708 | Eileen Hsiung | Dietitian, Registered | 830 Polaris Dr, Tustin, CA 92782-1720 | 2020-10-29 |
| 1912507831 | Aneeta Maria Vedula | Dietitian, Registered | 4371 Lombard Ave, Fremont, CA 94536-4929 | 2020-10-29 |
| 1336749449 | Sd Nutrition Group | Dietitian, Registered | 4295 Gesner St Ste 3a2, San Diego, CA 92117-6646 | 2020-10-28 |
| 1952901373 | Rubit Quintero-cobian | Dietitian, Registered | 3557 Willis Dr, Napa, CA 94558-2452 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
| City | VICTORVILLE |
| Zip Code | 92395 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.