DESERT VALLEY MEDICAL GROUP, INC. (NPI# 1912945114) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912945114 |
| Entity Type | Organization |
| Organization Name | DESERT VALLEY MEDICAL GROUP, INC. |
| Other Organization Name | PRIMECARE MEDICAL GROUP OF DESERT VALLEY, INC. |
| Practice Address |
12401 Hesperia Rd Victorville CA 92395-7707 |
| Mailing Address |
16850 Bear Valley Rd Victorville CA 92395-5794 |
| Practice Telephone | 7602418000 |
| Mailing Telephone | 7602418000 |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2020-04-27 |
| Authorized Official Name | DR. KAVITHA BHATIA (PRESIDENT/OWNER) |
| Authorized Official Telephone | 7602418000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083P0500X |
Preventive Medicine Specialization: Preventive Medicine/Occupational Environmental Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0072098 | 05 | |
| CA | DMERC | 4584430004 | 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 |
| 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 |
12401 HESPERIA RD |
| City | VICTORVILLE |
| State | CA |
| Zip Code | 92395-7707 |
| 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 | 2083P0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Preventive Medicine/Occupational Environmental Medicine |
| A preventive medicine physician who specializes in preventive medicine/occupational-environmental medicine, which is focused on protecting the population from occupational and environmental conditions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750911665 | Healthstat Wellness Sutter County | Preventive Medicine | 1215 Plumas St Ste 1300a, Yuba City, CA 95991-3400 | 2020-01-20 |
| 1194373530 | Healthstat Wellness County of Santa Barbara Headquarters | Preventive Medicine | 427 Camino Del Remedio Bldg G, Santa Barbara, CA 93110-1310 | 2019-08-29 |
| 1023678661 | Linda K Watanabe | Preventive Medicine | 700 Bay Rd. #2803, Redwood City, CA 94063 | 2019-06-17 |
| 1750872255 | Universal Occupational Medicine PC | Preventive Medicine | 8303 Brimhall Rd Bldg 1500, Bakersfield, CA 93312-2243 | 2018-05-21 |
| 1831694272 | Healthstat Wellness County Sb Headquarters | Preventive Medicine | 2500 Broadway Ste 400, Santa Monica, CA 90404-3176 | 2018-03-28 |
| 1326548363 | Paul Manchester | Preventive Medicine | 11159 Corte Pleno Verano, San Diego, CA 92130-2688 | 2018-02-16 |
| 1295240679 | Robert A Brooks | Preventive Medicine | 149 South Barrington Ave, #346, Los Angeles, CA 90049 | 2017-12-07 |
| 1285145383 | Brett V. Curtis M.d. & Associates, A Professional Corporation | Preventive Medicine | 7428 Redwood Blvd Ste 100, Novato, CA 94945-2418 | 2017-10-16 |
| 1104355783 | Susan Bradshaw | Preventive Medicine | 6320 W Howard Drollinger Way Ste 203, Los Angeles, CA 90045-3627 | 2017-06-07 |
| 1386097806 | Healthstat Wellness Bac Madera | Preventive Medicine | 15341 Road 28 1/2, Madera, CA 93638-2325 | 2016-07-20 |
| 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.