# DESERT VALLEY MEDICAL GROUP, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Primecare Medical Group of Desert Valley, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295031052
- **Authorized official:** DR. KAVITHA BHATIA MD (OWNER)
- **Authorized official phone:** (760) 241-8000

## Contact information

- **Practice address:** 19181 TOWN CENTER DR, APPLE VALLEY, CA 92308-8989
- **Practice address phone:** (760) 241-8000
- **Practice address fax:** (760) 962-8021
- **Mailing address:** 16850 BEAR VALLEY RD, VICTORVILLE, CA 92395-5794
- **Mailing address phone:** (760) 241-8000
- **Mailing address fax:** (760) 962-8021

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | CA | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 01/26/2011
- **Last updated:** 08/23/2022