Organization
DESERT VALLEY MEDICAL GROUP, INC.
Active
Organization
DESERT VALLEY MEDICAL GROUP, INC.
Active
Other names
Primecare Medical Group of Desert Valley, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAVITHA BHATIA M.D. (PRESIDENT/OWNER)
(760) 241-8000
Entity
Organization
Contact information
Practice address
12401 HESPERIA RD, VICTORVILLE, CA 92395-7707
(760) 241-8000
Mailing address
16850 BEAR VALLEY RD, VICTORVILLE, CA 92395-5794
(760) 241-8000
Taxonomy
Speciality
Code
Description
License number
State
2083P0500X
Preventive Medicine/Occupational Environmental Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4584430004
DMERC
CA
05
—
GR0072098
—
CA
Enumeration date
06/02/2006
Last updated
04/27/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up