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 12276 Hesperia Rd , Victorville CA 92395-5838. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Internal 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
Primary practice address
12276 Hesperia Rd
Victorville CA 92395-5838
Phone: (760) 241-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | ||
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X |
Profile Details
| NPI number | 1811949548 |
|---|---|
| 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 17th, 2006 |
| Last updated | Apr 27th, 2020 - about 4 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 | 1811949548 | NPPES |
| California | Other | 4584430002 | DMERC |
| California | Other | CC8406 | DMERC |
| California | MEDICAID | GR007209A | DMERC |
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