NPIMap

Desert Valley Medical Group Inc

A Medicare group practice based in Victorville, CA: 12 NPIs enrolled under one PECOS associate control ID (PAC ID 4880595875), with 152 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
4880595875The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
DME Supplier - Physician - Internal Medicine, Part B Supplier - Clinic/Group Practice
Enrolled in
CA
Enrollments
2
Group size
78 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
13In 4 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20040113000803 CA Part B Supplier - Clinic/Group Practice 1639117864
O20100930070754 CA DME Supplier - Physician - Internal Medicine 1801848452

NPIs in this group 12

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 152

Page 1 of 2

Clinicians who reassign their Medicare benefits to this group (151) or whom Care Compare lists as members (78).

Sources for this page