NPIMap

Individual provider Active NPI

George A Ponce Sr., M.D.

  • Cardiovascular Disease Physician
  • Moreno Valley, CA
National Provider Identifier
1174554935
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A51194 Issued in CA
Practice address
12810 Heacock St
Suite B201
Moreno Valley, CA 92553-2854
Phone
(951) 601-2363
Fax
(951) 601-2316
NPI assigned
Jul 6, 2006
Last updated
Jun 19, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A51194 CA
Cardiovascular Disease Physician 207RC0000X A51194 CA Primary

Addresses

Primary practice location

12810 Heacock St
Suite B201
Moreno Valley, CA 92553-2854

Mailing address

1947 Century Ave
Riverside, CA 92506-4662
Phone (951) 789-9102

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040902001309 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0143296962 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Desert Valley Medical Group IncGroup PAC ID 4880595875, 78 clinicians
Choice Healthcare Associates, Inc.Group PAC ID 3678759206, 9 clinicians

Practice addresses (Care Compare)

16850 Bear Valley Rd
Victorville, CA 92395-5794
Phone (760) 241-8000

18522 US Hwy 18
Suite 208
Apple Valley, CA 92307-2321
Phone (760) 242-9262

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting25
Pacemaker insertion or repair1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A51194CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Vascular Center a Professional Medical Corporation CurrentSince May 1, 2023 Accepting new patients
Choice Healthcare Associates, Inc. CurrentSince Apr 1, 2023 Accepting new patients
Cardiovascular Consultants of the Inland Valley Cardiovascular Disease CurrentSince Nov 15, 1995 Accepting new patients
High Desert Heart Institute Medical Corporation Cardiovascular Disease CurrentSince Apr 24, 2017 Accepting new patients
Ignite Emergency Physicians a Medical Corporation CurrentSince Oct 1, 2024 Accepting new patients
Desert Valley Medical Group, Inc. Current Accepting new patients
Modern Nuclear, Inc. CurrentSince Jan 10, 2004 Accepting new patients
Sach Physician Billing Trust Cardiovascular Disease CurrentSince Dec 1, 2024 Accepting new patients
Desert Valley Medical Group, Inc. Family Medicine CurrentSince Oct 17, 2017 Accepting new patients
Desert Valley Medical Group, Inc Internal Medicine CurrentSince Oct 17, 2017 Accepting new patients
Riverside Healthcare System, L.P. Past Accepting new patients
Doctors Hospital of Riverside LLC Past Accepting new patients
Hemet Valley Medical Center Past Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients

Locations

18522 US Highway 18
Ste 208
Apple Valley, CA 92307
Phone (760) 242-9262

19111 Town Center Dr
Apple Valley, CA 92308
Phone (661) 345-3055

12810 Heacock St
Ste B201
Moreno Valley, CA 92553
Phone (951) 601-2363

1801 W Olympic Blvd
#2611
Pasadena, CA 91199

8816 Foothill Blvd
Ste 322
Rch Cucamonga, CA 91730

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

12490 Business Center Dr
Ste 400
Victorville, CA 92395

12780 Hesperia Rd
Victorville, CA 92395
Phone (760) 241-2270

16850 Bear Valley Rd
Victorville, CA 92395

16850 Bear Valley Rd
#1
Victorville, CA 92395

16850 Bear Valley Rd
Ste 105
Victorville, CA 92395

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: george.ponce.p1@direct.dvmg.nextgenshare.com

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
Hospice of Ie and OcGrand Terrace, CA, CCN 751754 Hospice Contracted Managing Employee
Operational/Managerial Control		 Jan 1, 2026
Jan 1, 2026

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 15

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 15

Hospital & facility affiliations 8

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213833600000",
    "number": "1174554935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1947 CENTURY AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925064662",
            "telephone_number": "951-789-9102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12810 HEACOCK ST",
            "address_2": "SUITE B201",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925532854",
            "telephone_number": "951-601-2363",
            "fax_number": "951-601-2316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONCE",
        "first_name": "GEORGE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2008-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A51194",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A51194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

Verify at the official NPI Registry.