DESERT VALLEY MEDICAL GROUP, INC. (NPI# 1841804101) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841804101 |
| Entity Type | Organization |
| Organization Name | DESERT VALLEY MEDICAL GROUP, INC. |
| Practice Address |
11883 Amethyst Rd Ste 202 Victorville CA 92392-9225 |
| Mailing Address |
16850 Bear Valley Rd Victorville CA 92395-5794 |
| Practice Telephone | 7602418000 |
| Mailing Telephone | 7602418000 |
| Enumeration Date | 2020-09-03 |
| Last Update Date | 2020-09-03 |
| Authorized Official Name | MARIE LANGLEY (IPA ADMINISTRATOR) |
| Authorized Official Telephone | 7609002155 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207L00000X | Anesthesiology | 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 |
| Other Name | Type Code |
|---|---|
| DESERT VALLEY MEDICAL GROUP, INC. | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1801848452 | Desert Valley Medical Group, Inc. | Anesthesiology | 16850 Bear Valley Rd, Victorville, CA 92395-5794 | 2006-05-16 |
| Street Address |
11883 AMETHYST RD STE 202 |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92392-9225 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215568688 | Kristin Parris | Behavior Technician | 15490 Civic Drive, Victorville, CA 92392 | 2020-02-03 |
| 1366001604 | Pine Ridge Treatment Centers, Inc. | Substance Abuse Rehabilitation Facility | 15367 Bonanza Rd, Ste A, Victorville, CA 92392 | 2019-06-11 |
| 1851871289 | Betty A. Murphy, Lmft, Inc | Marriage & Family Therapist | 15437 Anacapa Rd. Ste 26, Victorville, CA 92392 | 2018-08-15 |
| 1104313402 | Jorge L Soler Iglesias | Nurse Practitioner | 12459 Cricket St., Victorville, CA 92392 | 2018-04-23 |
| 1689192049 | Jamesina Johns | Nurse Practitioner | 12127 Mall Blvd #148, Victorville, CA 92392 | 2017-09-06 |
| 1285151886 | Jasmin Sanchez | Behavioral Analyst | 13201 Eclipse Ave, Victorville, CA 92392 | 2017-08-24 |
| 1174049829 | Virginia Marshall | Behavioral Analyst | 13901 Amargosa Rd., Victorville, CA 92392 | 2017-08-15 |
| 1346781465 | San Bernardino Conty | Counselor | 15480 Ramona Ave., Victoville, CA 92392 | 2017-03-09 |
| 1841741279 | Lorinda Morreale | Marriage & Family Therapist | 15428 Civic Dr. Ste 200, Act Family Counseling, Victorville, CA 92392 | 2016-10-20 |
| 1235582404 | Greater Hope Foundation | Community/Behavioral Health | 14344 Cajon Avenue, Suite 101, 103, Victorville, CA 92392 | 2016-07-22 |
| Find all providers in zip 92392 | ||||
| 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 | 92392 |
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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.