DESERT VALLEY MEDICAL GROUP, INC. (NPI# 1801848452) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801848452 |
| Entity Type | Organization |
| Organization Name | DESERT VALLEY MEDICAL GROUP, INC. |
| Other Organization Name | PRIMECARE MEDICAL GROUP OF DESERT VALLEY, INC. |
| Practice 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 | 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 | 207L00000X | Anesthesiology | Allopathic & Osteopathic Physicians | ||
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207U00000X | Nuclear Medicine | Allopathic & Osteopathic Physicians | ||
| N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
| N | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians | ||
| N | 207ZP0101X |
Pathology Specialization: Anatomic Pathology |
Allopathic & Osteopathic Physicians | ||
| N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
| N | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians | ||
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians | ||
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| N | 208800000X | Urology | Allopathic & Osteopathic Physicians | ||
| N | 208M00000X | Hospitalist | Allopathic & Osteopathic Physicians | ||
| Y | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0072090 | 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 |
| 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 |
| Street Address |
16850 BEAR VALLEY RD |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-5794 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932104908 | Renaissance Radiology Medical Group, Inc. | Radiology | 16850 Bear Valley Rd, Victorville, CA 92395-5794 | 2005-06-16 |
| 1780216853 | Hieu Trung Huynh | Pharmacist | 16850 Bear Valley Rd, Victorville, CA 92395-5794 | 2020-02-06 |
| 1801428107 | Stephanie Victoria Ingrassia | Nurse Practitioner | 16850 Bear Valley Rd, Victorville, CA 92395-5794 | 2020-02-05 |
| 1831737188 | Jannet Cardin | Pharmacist | 16850 Bear Valley Rd, Victorville, CA 92395-5794 | 2019-12-18 |
| 1265070684 | Regina Renee Cendejas | Nurse Practitioner | 16850 Bear Valley Rd, Victorville, CA 92395-5794 | 2019-12-16 |
| 1013568526 | Krystle Ann Frazier | Nurse Practitioner | 16850 Bear Valley Rd, Victorville, CA 92395-5794 | 2019-09-25 |
| 1265088116 | Stephany Salazar | Clinic/Center | 16850 Bear Valley Rd, Victorville, CA 92395-5794 | 2019-08-16 |
| 1346893054 | Junel Buenafe Tagayuna | Pharmacist | 16850 Bear Valley Rd, Victorville, CA 92395-5794 | 2019-07-22 |
| 1942865381 | Duvan Martinez | Nurse Practitioner | 16850 Bear Valley Rd, Victorville, CA 92395-5794 | 2019-05-01 |
| 1568925378 | Nicole Marie Sweeney | Speech-Language Pathologist | 16850 Bear Valley Rd, Victorville, CA 92395-5795 | 2019-04-09 |
| Find all providers in the same location | ||||
| 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 | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871082602 | Ross Talbot Quinn | Internal Medicine | 12719 2nd Ave, Victorville, CA 92395-9071 | 2018-05-07 |
| 1417371063 | Clinicians Medical Group Hd Inc | Internal Medicine | 11883 Amethyst Road, Suite 100, Victorville, CA 92392 | 2014-02-18 |
| 1497039119 | Marlon Saint Steve Russell | Internal Medicine | 12370 Hesperia Rd Ste 15, Victorville, CA 92395 | 2011-09-29 |
| 1669782595 | Joel Q. Velasquez, M.d. Incorporated | Internal Medicine | 12677 Hesperia Rd Ste 130, Victorville, CA 92395-7735 | 2010-10-13 |
| 1003131533 | Neel Kishor Kapasi | Internal Medicine | 16850 Bear Valley Rd Ste 105, Victorville, CA 92395 | 2010-03-26 |
| 1871821850 | Healthy Solution Inc | Internal Medicine | 15382 W Sage St, #103, Victorville, CA 92392-2307 | 2009-12-02 |
| 1013161306 | Sunil J Abraham | Internal Medicine | 13010 Hesperia Road, Ste. 300, Victorville, CA 92395-8315 | 2008-11-12 |
| 1134216930 | Arnab Biswas | Internal Medicine | 12595 Hesperia Rd Ste 101, Victorville, CA 92395-5882 | 2006-10-05 |
| 1396851580 | Ashvin V Bhutwala | Internal Medicine | 17199 Yuma St, Ste 1, Victorville, CA 92395-5886 | 2006-08-22 |
| 1316978075 | Sonia Panjwani | Internal Medicine | 12760 Hesperia Rd Ste B, Victorville, CA 92395-5806 | 2006-07-05 |
| Find all providers in VICTORVILLE | ||||
| 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.