Primecare Medical Group Of Desert Valley, Inc.
LBN: Desert Valley Medical Group, Inc.
Primecare Medical Group Of Desert Valley, Inc. is an health care organization with primary practice located at 17450 Main St , Hesperia CA 92345-6298. The organization recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Family. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Desert Valley Medical Group, Inc. can be contacted via phone (760) 241-8000, or through Bhatia, Kavitha via phone (760) 241-8000.
Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X |
Profile Details
| NPI number | 1114973914 |
|---|---|
| LBN Legal business name | Desert Valley Medical Group, Inc. |
| DBA Doing business as | Primecare Medical Group Of Desert Valley, Inc. |
| Authorized official | Bhatia, Kavitha Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 25th, 2006 |
| Last updated | Aug 23rd, 2022 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114973914 | NPPES |
| California | MEDICAID | GR0072091 | |
| California | Other | 4584430006 | |
| California | Other | CC8406 |
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