Individual provider Active NPI

Imran Siddiqui, M.D.

  • Internal Medicine Physician
  • Victorville, CA
National Provider Identifier
1134535792
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A152559 Issued in CA
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

Updated by the provider on Dec 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, IL3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20180306001138 VA Practitioner - Internal Medicine 9436422649 Reassigns benefits to 1 organization
I20180417002557 CA Practitioner - Internal MedicinePractitioner - Hospitalist 9436422649 Reassigns benefits to 3 organizations
I20260330000571 IL Practitioner - Internal Medicine 9436422649 Reassigns benefits to 1 organization

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
Ignite Hospitalists, LLCGroup PAC ID 7719460328, 11 clinicians
Desert Valley Medical Group IncGroup PAC ID 4880595875, 78 clinicians

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 Home health agency, Victorville, CA, CCN 053161
  • Nu Care Home Health Home health agency, Rancho Cucamonga, CA, CCN 757252
  • Desert Wind Hospice Inc Hospice, Victorville, CA, CCN B21628
  • Desert Valley Hospital Hospital, Victorville, CA, CCN 050709
  • Apple Valley Care Center Nursing home, Apple Valley, CA, CCN 555476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A152559CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Medicine Physicians of California, Inc Family Medicine CurrentSince May 1, 2018 Accepting new patients
Epic Medical Group,Inc Internal Medicine CurrentSince Dec 1, 2019 Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC Family Medicine CurrentSince Sep 22, 2018 Accepting new patients
Desert Valley Medical Group, Inc. Family Medicine CurrentSince Oct 30, 2018 Accepting new patients
Ignite Emergency Physicians a Medical Corporation CurrentSince Mar 14, 2024 Accepting new patients
Desert Valley Medical Group, Inc. Current Accepting new patients
Desert Valley Medical Group, Inc Internal Medicine CurrentSince Oct 30, 2018 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

  • Direct secure messaging: imran.siddiqui.p1@direct.dvmg.nextgenshare.com
  • FHIR API: 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.

FacilityTypeRoleSince
Apple Valley Care CenterApple Valley, CA, CCN 555476 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.

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.

View all 13

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.