Active NPI
Imran Siddiqui, M.D.
- Internal Medicine Physician
- Victorville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A152559
- Practice address
- 16850 Bear Valley Rd
Victorville, CA 92395-5794 - Phone
- (760) 241-8000
- NPI assigned
- Jul 3, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A152559 | CA | Primary |
Addresses
Primary practice location
16850 Bear Valley Rd
Victorville, CA 92395-5794
Mailing address
16850 Bear Valley Rd
Victorville, CA 92395-5795
Phone (760) 241-8000
Other practice location 1
1325 N Highland Ave
Aurora, IL 60506-1449
Phone (630) 859-2222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, CA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1325 N Highland Ave
Aurora, IL 60506-1449
Phone (630) 859-2222
14214 Main St
Hesperia, CA 92345-8091
Phone (760) 241-8000
Hospital & facility affiliations
- Valde Home Health, Inc
- Nu Care Home Health
- Desert Wind Hospice Inc
- Desert Valley Hospital
- Apple Valley Care Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A152559 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of California, Inc | Family Medicine | Current | Accepting new patients |
| Epic Medical Group,Inc | Internal Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Virginia LLC | Family Medicine | Current | Accepting new patients |
| Desert Valley Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Ignite Emergency Physicians a Medical Corporation | Current | Accepting new patients | |
| Desert Valley Medical Group, Inc. | Current | Accepting new patients | |
| Desert Valley Medical Group, Inc | Internal Medicine | Current | Accepting new patients |
| S Pannu Inc | Internal Medicine | Past | Accepting new patients |
| Desert Valley Hospital, LLC | Past | Accepting new patients | |
| Saint Joseph Regional Medical Center- Plymouth Campus Inc | Family Medicine | Past | Accepting new patients |
| Upmc Washington | Past | Accepting new patients | |
| Gaurav Datta MD Inc | Internal Medicine | Past | Accepting new patients |
Locations
2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653
501 W Glenoaks Blvd
Ste 26
Glendale, CA 91202
13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500
4940 Van Nuys Blvd
Ste 200
Sherman Oaks, CA 91403
Phone (818) 528-1222
16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222
16850 Bear Valley Rd
Ste 100
Victorville, CA 92395
16850 Bear Valley Rd
Ste 105
Victorville, CA 92395
1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700
759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- imran.siddiqui.p1@direct.dvmg.nextgenshare.com
- https://api.platform.athenahealth.com/7032/brand/1/csg/1/fhir/r4
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Apple Valley Care Center | Skilled nursing facility | Operational/Managerial Control Adp of the SNF |
May 13, 2020 May 13, 2020 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Skilled Nursing Facility
- Apple Valley, CA
- NPI 1366091233
Adp of the SNF, Operational/Managerial Control
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Victorville, CA
- NPI 1639117864
-
- Hospitalist Physician
- Aurora, IL
- NPI 1548130883
-
- Critical Care Medicine (Internal Medicine) Physician
- Sherman Oaks, CA
- NPI 1295178689
-
- Internal Medicine Physician
- Apple Valley, CA
- NPI 1184663965
Family Medicine
-
- Internal Medicine Physician
- Winchester, VA
- NPI 1770756991
Family Medicine
-
- Internal Medicine Physician
- Victorville, CA
- NPI 1952020315
-
- Internal Medicine Physician
- Victorville, CA
- NPI 1801848452
Family Medicine
-
- Emergency Medical Services (Emergency Medicine) Physician
- Victorville, CA
- NPI 1437918307
-
- General Acute Care Hospital
- Victorville, CA
- NPI 1851396576
-
- Internal Medicine Physician
- Elk Grove, CA
- NPI 1033735931
-
- Internal Medicine Physician
- Susanville, CA
- NPI 1407987522
-
- Family Medicine Physician
- Plymouth, IN
- NPI 1538585187
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Victorville, CA
- NPI 1851396576
-
- Community Based Hospice Care Agency
- Victorville, CA
- NPI 1053955070
-
- Home Health Agency
- Rancho Cucamonga, CA
- NPI 1114514452
-
- Home Health Agency
- Victorville, CA
- NPI 1184073389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1404345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765497600000",
"number": "1134535792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16850 BEAR VALLEY RD",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923955795",
"telephone_number": "760-241-8000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16850 BEAR VALLEY RD",
"city": "VICTORVILLE",
"state": "CA",
"postal_code": "923955794",
"telephone_number": "760-241-8000"
}
],
"practiceLocations": [
{
"address_1": "1325 N Highland Ave",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "IL",
"postal_code": "605061449",
"country_code": "US",
"telephone_number": "630-859-2222",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIDDIQUI",
"first_name": "IMRAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-07-03",
"last_updated": "2025-12-12",
"certification_date": "2025-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A152559",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Victorville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.