Organization Active NPI

Caremd, Inc.

  • Family Medicine Physician
  • Barstow, CA
National Provider Identifier
1740588391
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CAREMD, INC.
Practice address
1890 W Main St Ste 110
Barstow, CA 92311-3726
Phone
(760) 256-1422
NPI assigned
Mar 7, 2011
Last updated
Oct 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Authorized official

Name
Dr. Rahul Nayar, MD
Title
President
Phone
(760) 242-7777

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1890 W Main St Ste 110
Barstow, CA 92311-3726

Mailing address

19111 Town Center Drive
Apple Valley, CA 92308
Phone (760) 242-7777

Other practice location 1

13010 Hesperia Rd Ste 300
Victorville, CA 92395-8315
Phone (760) 843-7873

Other practice location 2

5565 Grossmont Center Dr Ste 444
LA Mesa, CA 91942-3020
Phone (619) 332-5149

Other practice location 3

13010 Hesperia Rd Ste 501
Victorville, CA 92395-8315
Phone (760) 881-3717

Other names 1

  • VENU PRABAKER, MD INC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20240521000226 CA Part B Supplier - Clinic/Group Practice 9133390297 Receives reassigned benefits from 12 practitioners
Practice locations: Barstow, CA
O20240710002518 CA Part B Supplier - Clinic/Group Practice 9133390297 Receives reassigned benefits from 5 practitioners
Practice locations: La Mesa, 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
05D2068440Caremd Inc1890 W Main St Ste 110, Barstow, CA 92311Certificate of waiverNov 3, 2027
05D2068783Caremd Inc13010 Hesperia Rd Ste 300, Victorville, CA 92395Certificate of waiverNov 11, 2027
05D2154130Caremd Inc13010 Hesperia Rd Ste 501, Victorville, CA 92395Certificate of waiverAug 31, 2027

National Provider Directory

National Provider Directory

Locations

1890 W Main St
Ste 110
Barstow, CA 92311
Phone (760) 256-1422

7339 El Cajon Blvd
Ste 1
La Mesa, CA 91942
Phone (619) 668-6280

7339 El Cajon Blvd
Ste A
La Mesa, CA 91942
Phone (619) 722-8460

13010 Hesperia Rd
Ste 300
Victorville, CA 92395
Phone (760) 843-7873

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730246400000",
    "number": "1740588391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19111 TOWN CENTER DRIVE",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "92308",
            "telephone_number": "760-242-7777",
            "fax_number": "866-817-2742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 W MAIN ST STE 110",
            "city": "BARSTOW",
            "state": "CA",
            "postal_code": "923113726",
            "telephone_number": "760-256-1422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13010 Hesperia Rd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923958315",
            "country_code": "US",
            "telephone_number": "760-843-7873",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5565 Grossmont Center Dr Ste 444",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919423020",
            "country_code": "US",
            "telephone_number": "619-332-5149",
            "fax_number": "619-698-0609",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13010 Hesperia Rd Ste 501",
            "address_purpose": "LOCATION",
            "city": "Victorville",
            "state": "CA",
            "postal_code": "923958315",
            "country_code": "US",
            "telephone_number": "760-881-3717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CAREMD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A",
        "authorized_official_last_name": "NAYAR",
        "authorized_official_first_name": "RAHUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-242-7777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VENU PRABAKER, MD INC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Barstow, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.