DESERT VALLEY MEDICAL GROUP, INC.
NPI 1063465474
Dietitian, Registered in Victorville, CA
About Desert Valley Medical Group, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DESERT VALLEY MEDICAL GROUP, INC. (NPI 1063465474), doing business as Primecare Medical Group Of Desert Valley, Inc., is a healthcare organization registered as a dietitian, registered in Victorville, California and active in the NPI registry since May 2006. The organization holds 2 active CLIA laboratory certificates and lists Kavitha Bhatia, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Desert Valley Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
144Medicare enrollment records show 144 clinicians reassign Medicare billing to Desert Valley Medical Group, Inc., which bills Medicare for the services they deliver. Of these, 74 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 25
Nearest to this location (20)
See all 144Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA 2
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 05D2226326
Desert Valley Medical Group, Inc · Victorville, CACertificate of Waiver 05D2223644
Desert Valley Medical Group, Inc · Victorville, CAFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Desert Valley Medical Group, Inc.'s NPI number?
The NPI number for Desert Valley Medical Group, Inc. is 1063465474. It was assigned to this organization in the NPPES registry on May 18, 2006. The provider was formerly known as Primecare Medical Group Of Desert Valley, Inc..
Where is Desert Valley Medical Group, Inc. located?
Desert Valley Medical Group, Inc. is located at 16716 Bear Valley Rd, Victorville, CA 92395. The listed phone number is (760) 241-8000.
What is Desert Valley Medical Group, Inc.'s specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Desert Valley Medical Group, Inc. enrolled in Medicare?
Yes. Desert Valley Medical Group, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Desert Valley Medical Group, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 144 clinicians in 25 Medicare specialties reassign their Medicare billing to Desert Valley Medical Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (32), Internal Medicine (22) and Family Practice (15). Of these, 74 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Desert Valley Medical Group, Inc. hold CLIA laboratory certificates?
Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.
When was this NPI record last updated?
The NPPES record for Desert Valley Medical Group, Inc. was last updated on August 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Desert Valley Medical Group, Inc. · NPI 1063465474
Dietitian, Registered organization in Victorville, California. Organization record, active in the CMS NPPES registry since May 18, 2006.
## Identity
- **NPI:** 1063465474 (Entity type: Organization)
- **Enumerated:** May 18, 2006
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **Organization subpart:** No
- **Authorized official:** Kavitha Bhatia, OWNER
## Practice location
- **Address:** 16716 BEAR VALLEY RD, Victorville, CA 92395-5797
- **Phone:** (760) 241-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 144 clinicians in 25 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (32), Internal Medicine (22), Family Practice (15); 74 practice within 10 miles; [full list](https://npiprofile.com/npi/1063465474/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 23, 2022
- **Other identifiers:** Other CC8406 (CA)
- **CLIA laboratory certificates:** 2 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1063465474) · Data from the CMS NPPES public registry.