Organization Active NPI

Parth Medical Group, Inc.

  • Specialist
  • Apple Valley, CA
National Provider Identifier
1275649386
Registry record updated Apr 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
PARTH MEDICAL GROUP, INC.
Practice address
16018 Tuscola Rd Ste 9
Apple Valley, CA 92307-1329
Phone
(760) 946-1344
Fax
(760) 946-2477
NPI assigned
Aug 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2012

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

Authorized official

Name
Dr. Naresh Ganesh, M,D.NPI 1558468942
Title
Ceo
Phone
(760) 946-1344

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193200000X MULTI-SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

16018 Tuscola Rd Ste 9
Apple Valley, CA 92307-1329

Mailing address

16018 Tuscola Rd Ste 9
Apple Valley, CA 92307-1329
Phone (760) 946-1344

Other names 1

  • Premier Parth Medical Group, Inc. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071219000150 CA Part B Supplier - Clinic/Group Practice 5496845109 Receives reassigned benefits from 2 practitioners
Practice locations: Apple Valley, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2104027Parth Medical Group Inc16018 Tuscola Rd Ste 9, Apple Valley, CA 92307Certificate of waiverOct 25, 2027

National Provider Directory

National Provider Directory

Locations

16018 Tuscola Rd
Ste 9
Apple Valley, CA 92307
Phone (760) 242-7651

11959 Apple Valley Rd
Apple Valley, CA 92308
Phone (760) 240-5051

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333324800000",
    "number": "1275649386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16018 TUSCOLA RD STE 9",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071329",
            "telephone_number": "760-946-1344",
            "fax_number": "760-946-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16018 TUSCOLA RD STE 9",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071329",
            "telephone_number": "760-946-1344",
            "fax_number": "760-946-2477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARTH MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2012-04-02",
        "status": "A",
        "authorized_official_last_name": "GANESH",
        "authorized_official_first_name": "NARESH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "760-946-1344",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M,D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Parth Medical Group, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Apple Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.