Desert Valley Medical Group, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

DESERT VALLEY MEDICAL GROUP, INC

Practice address

12351 Mariposa Rd
Victorville, CA 92395-6013

Phone

(760) 241-8000

NPI assigned

May 19, 2021

Organization subpart

Yes

Parent organization

DESERT VALLEY MEDICAL GROUP, INCAs reported in NPPES

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

Authorized official

Name

Marie Langley

Title

Administrator

Phone

(760) 241-8000

Specialties & licenses 1

Addresses

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

CLIA laboratory certificates

Tax ID family

Primecare Medical Group7 organizations share this tax ID, including this one

Part of

Primecare Medical Group

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

• Desert Valley Medical Group, Inc

  • Case Manager/Care Coordinator
  • Victorville, CA
  • NPI 1306719265
  NPD tax ID
• Desert Valley Medical Group, Inc

  • Hospitalist Physician
  • Victorville, CA
  • NPI 1770448508
  NPD tax ID
• Desert Valley Medical Group, Inc

  • Internal Medicine Physician
  • Victorville, CA
  • NPI 1952020315
  NPD tax ID
• Desert Valley Medical Group, Inc.

  • Registered Dietitian
  • Victorville, CA
  • NPI 1063465474
  NPD tax ID
• Desert Valley Medical Group, Inc.

  • Physical Therapist
  • Victorville, CA
  • NPI 1639117864
  NPD tax ID
• Desert Valley Medical Group, Inc.

  • Family Medicine Physician
  • Victorville, CA
  • NPI 1841804101
  NPD tax ID

Locations

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621382400000",
    "number": "1609440122",
    "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": "12351 MARIPOSA RD",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923956013",
            "telephone_number": "760-241-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT VALLEY MEDICAL GROUP, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DESERT VALLEY MEDICAL GROUP, INC",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-04-21",
        "status": "A",
        "authorized_official_last_name": "LANGLEY",
        "authorized_official_first_name": "MARIE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "760-241-8000"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Desert Ridge Transitional Care Center, LP
• Desert Rose Trauma Recovery
• Desert Valley Home Health, Inc.
• Desert Valley Hospital, LLC
• Desert Valley Medical Group, Inc
• Desert Valley Medical Group, Inc
• Desert Valley Medical Group, Inc
• Desert Valley Medical Group, Inc.
• Desert Valley Medical Group, Inc.
• Desert Valley Medical Group, Inc.

• All providers in Victorville, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.