Aditya Devineni, MD, MS

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A189731 Issued in CA

Practice address

17259 Jasmine St Ste B
Victorville, CA 92395-7787

Phone

(760) 241-4929

NPI assigned

Apr 21, 2022

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Master of Science

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Anupama Sharma MD Inc

  dba Radiant Primary Care

  • Multi-Specialty Clinic/Center
  • Victorville, CA
  • NPI 1922212653

  Internal Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751155200000",
    "number": "1497499909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17259 JASMINE ST STE B",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957787",
            "telephone_number": "760-241-4929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17259 JASMINE ST STE B",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957787",
            "telephone_number": "760-241-4929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEVINENI",
        "first_name": "ADITYA",
        "credential": "MD, MS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-21",
        "last_updated": "2025-06-29",
        "certification_date": "2025-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A189731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Vista Anesthesiology Medical Group, Inc.
• Desert Wind Hospice, Inc.
• Angellena Laval Desousa, LVN
• Ashley Deveze
• Deandra Devine
• Venkat Devineni, MD
• Renae Devolld
• Tarathya Bunga Dharmasaputra, MD
• Diamond Pathology LLC
• Amy Diaz

• Internal Medicine Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.