Individual provider Active NPI

Sukalpa John Dutta, M.D.

  • Family Medicine Physician
  • Apple Valley, CA
National Provider Identifier
1487768586
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A87325 Issued in CA
Practice address
18012 Wika Rd
Apple Valley, CA 92307-2125
Phone
(442) 292-2358
NPI assigned
Aug 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A87325 CA Primary

Addresses

Primary practice location

18012 Wika Rd
Apple Valley, CA 92307-2125

Mailing address

18092 Wika Rd Ste 220
Apple Valley, CA 92307-2132
Phone (760) 515-6260

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050404000650 CA Practitioner - Family PracticePractitioner - Hospitalist 0840247698 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospitalist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Desert Valley Medical Group IncGroup PAC ID 4880595875, 78 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • Victor Valley Global Medical Center Hospital, Victorville, CA, CCN 050517
  • Knolls West Post Acute LLC Nursing home, Victorville, CA, CCN 555251
  • Spring Valley Post Acute LLC Nursing home, Victorville, CA, CCN 055076

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A87325CAMDFamily Medicine Physician

Practice roles (10 of 11)

OrganizationSpecialtyStatusNew patients
KND Development 59 LLC Current Accepting new patients
Galen Inpatient Physicians PC CurrentSince Jun 15, 2023 Accepting new patients
Desert Valley Medical Group, Inc CurrentSince Jan 7, 2026 Accepting new patients
Galen Inpatient Physicians, PC Current Accepting new patients
Choice Urgent Care CurrentSince Dec 1, 2024 Accepting new patients
KND Development 59 LLC CurrentSince Oct 19, 2013 Accepting new patients
KND Development 59, LLC CurrentSince Oct 19, 2013 Accepting new patients
Desert Valley Medical Group, Inc Family Medicine CurrentSince Jan 7, 2026 Accepting new patients
Galen Inpatient Physicians PC CurrentSince Jun 15, 2023 Accepting new patients
Sukalpa John Dutta, MD, Inc. Family Medicine CurrentSince Jun 5, 2023 Accepting new patients

Locations

18012 Wika Rd
Apple Valley, CA 92307
Phone (442) 292-2358

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

18095 US Highway 18
Ste B
Apple Valley, CA 92307
Phone (760) 242-2333

18092 Wika Rd
Ste 220
Apple Valley, CA 92307
Phone (760) 515-6260

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

10841 White Oak Ave
Ste 107
Rch Cucamonga, CA 91730
Phone (909) 483-8361

10841 White Oak Ave
Rch Cucamonga, CA 91730
Phone (626) 914-1514

15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691

13010 Hesperia Rd
Ste 600
Victorville, CA 92395
Phone (760) 350-2498

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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 3

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": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692748800000",
    "number": "1487768586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18092 WIKA RD STE 220",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072132",
            "telephone_number": "760-515-6260",
            "fax_number": "949-863-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18012 WIKA RD",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072125",
            "telephone_number": "442-292-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUTTA",
        "first_name": "SUKALPA",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2023-08-23",
        "certification_date": "2023-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A87325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.