Individual provider Active NPI

Goldy Sharma, PA-C

  • Surgical Physician Assistant
  • Victorville, CA
National Provider Identifier
1831500636
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
52401 Issued in CA
Practice address
16850 Bear Valley Rd # 101
Victorville, CA 92395-5795
Phone
(760) 241-8000
Fax
(760) 241-2140
NPI assigned
May 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 52401 CA
Surgical Physician Assistant 363AS0400X 52401 CA Primary

Addresses

Primary practice location

16850 Bear Valley Rd # 101
Victorville, CA 92395-5795

Mailing address

4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600
Phone (702) 653-3197

Other practice location 1

4700 Las Vegas Blvd N
Nellis AFB, NV 89191-6600
Phone (702) 653-2273

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250207001419 CA Practitioner - Physician Assistant 0446555254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Nebraska College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Orthopaedic Trauma Specialists PMCGroup PAC ID 4082992623, 36 clinicians
Desert Valley Medical Group IncGroup PAC ID 4880595875, 78 clinicians

Practice addresses (Care Compare)

12490 Business Ctr Dr
Suite 100
Victorville, CA 92395-5833
Phone (909) 596-4346

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

4445 Magnolia Ave
Riverside, CA 92501-4135
Phone (951) 788-3000

999 San Bernardino Rd
Upland, CA 91786-4920
Phone (909) 985-2811

Hospital & facility affiliations

  • Desert Valley Hospital Hospital, Victorville, CA, CCN 050709

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
52401CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sports Medicine and Orthopaedic Institute CurrentSince Jun 9, 2025 Accepting new patients
Desert Valley Medical Group, Inc CurrentSince Feb 1, 2025 Accepting new patients
Desert Valley Medical Group, Inc. CurrentSince Feb 1, 2025 Accepting new patients

Locations

5000 San Bernardino St
Montclair, CA 91763
Phone (909) 625-4111

160 E Artesia St
Ste 255
Pomona, CA 91767
Phone (909) 620-0900

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

999 San Bernardino Rd
Upland, CA 91786
Phone (909) 920-4841

16850 Bear Valley Rd
#101
Victorville, CA 92395

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

12490 Business Center Dr
Ste 100
Victorville, CA 92395
Phone (760) 522-8585

Interoperability endpoints

  • Direct secure messaging: goldy.sharma.p1@direct.dvmg.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1831500636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 LAS VEGAS BLVD N",
            "city": "NELLIS AFB",
            "state": "NV",
            "postal_code": "891916600",
            "telephone_number": "702-653-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16850 BEAR VALLEY RD # 101",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955795",
            "telephone_number": "760-241-8000",
            "fax_number": "760-241-2140"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4700 Las Vegas Blvd N",
            "address_purpose": "LOCATION",
            "city": "Nellis AFB",
            "state": "NV",
            "postal_code": "891916600",
            "country_code": "US",
            "telephone_number": "702-653-2273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHARMA",
        "first_name": "GOLDY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-14",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "52401",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "52401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.