DESERT VALLEY MEDICAL GROUP, INC. (NPI# 1144272717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144272717 |
| Entity Type | Organization |
| Organization Name | DESERT VALLEY MEDICAL GROUP, INC. |
| Other Organization Name | PRIMECARE MEDICAL GROUP OF DESERT VALLEY, INC. |
| Practice Address |
14214 Main St Hesperia CA 92345-4632 |
| Mailing Address |
16850 Bear Valley Rd Victorville CA 92395-5794 |
| Practice Telephone | 7602418000 |
| Mailing Telephone | 7602418000 |
| Enumeration Date | 2006-05-16 |
| 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 |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | RAILROAD MEDICARE | CC8406 | 01 |
| CA | DMERC | 4584430007 | 01 |
| CA | GR007209B | 05 |
| 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 |
| 1063465474 | Desert Valley Medical Group, Inc. | Dietitian, Registered | 16716 Bear Valley Rd, Victorville, CA 92395-5797 | 2006-05-18 |
| 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 |
14214 MAIN ST |
| City | HESPERIA |
| State | CA |
| Zip Code | 92345-4632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649881467 | Leslie Guzman | Behavioral Analyst | 6700 Newhall Ave, Hesperia, CA 92345 | 2020-08-14 |
| 1134769896 | Nu Wave Medical Group Inc | Family Medicine | 9390 Hesperia Rd Suite 7, Hesperia, CA 92345 | 2020-01-10 |
| 1760901383 | Lindsey Kathleen Dunnagan | Counselor | 16501 Walnut Street, Suite 12, Hesperia, CA 92345 | 2017-09-14 |
| 1356869374 | Deborah Irene Freeman | Nurse Practitioner | 15398 Main Street Suite A, Hesperia, CA 92345 | 2017-08-30 |
| 1902260151 | Serge Bronstein | Counselor | 16808 Main St., D-154, Hesperia, CA 92345 | 2016-04-13 |
| 1366815805 | Caremore Health Plan | Nurse Practitioner | 17085 Main Street, Hesperia, CA 92345 | 2015-11-05 |
| 1174928402 | Jennifer Cathrin Bayle | Counselor | 17130 Sequoia St, Suite 106, Hesperia, CA 92345 | 2014-10-29 |
| 1447654256 | Diana Grace Chilstrom | Marriage & Family Therapist | 11776 Mariposa Road, Hesperia, CA 92345 | 2014-10-22 |
| 1639597545 | Adrianna Ebony Williams | Physical Therapy Assistant | 8939 11th Ave, Hesperia, CA 92345 | 2014-03-29 |
| 1477974426 | Aja Stoll | Case Manager/Care Coordinator | 9655 Ninth Ave, Hesperia, CA 92345 | 2013-12-18 |
| Find all providers in zip 92345 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134769896 | Nu Wave Medical Group Inc | Family Medicine | 9390 Hesperia Rd Suite 7, Hesperia, CA 92345 | 2020-01-10 |
| 1073003000 | Impact Care Access Network II | Family Medicine | 9390 Hesperia Rd Ste 7, Hesperia, CA 92345-3602 | 2018-05-15 |
| 1427585918 | We Heart Urgent Care Inc | Family Medicine | 11949 Hesperia Rd Ste B, Hesperia, CA 92345-2181 | 2017-05-16 |
| 1003022054 | Alliance Physicians | Family Medicine | 17081 Main St, Hesperia, CA 92345-6075 | 2007-05-15 |
| 1699851550 | Telesforo Mondares Ramos | Family Medicine | 16455 Main Street, Suite 1, Hesperia, CA 92345 | 2006-10-31 |
| 1518060169 | Myrtle Mclain | Family Medicine | 78 N Division, Hesperia, MI 49421 | 2006-09-07 |
| 1346250396 | Dr.mikel Walk In Clinic Inc | Family Medicine | 15791 Bear Valley Rd, Hesperia, CA 92345-1746 | 2006-08-09 |
| 1255383188 | Desert Family Practice Associates | Family Medicine | 11919 Hesperia Rd, Hesperia, CA 92345-1855 | 2006-05-17 |
| 1770562506 | Eric Rodney Hansen | Family Medicine | 14575 Main St, Hesperia, CA 92345-3322 | 2006-01-11 |
| 1902256266 | Hsin Wen | Family Medicine | 16453 Bear Valley Rd, Hesperia, CA 92345-1752 | 2016-06-17 |
| Find all providers in HESPERIA | ||||
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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.