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DESERT VALLEY MEDICAL GROUP, INC.
NPI 1063465474
Dietitian, Registered in Victorville, CA

Active since May 18, 2006CLIA Certified · 7 labs
16716 BEAR VALLEY RD, VICTORVILLE, CA 92395(760) 241-8000 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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 7 active CLIA laboratory certificates and lists Kavitha Bhatia, Owner, as its authorized official.

NPPES Registry Identity

NPI1063465474
Entity TypeOrganization
Primary Taxonomy133V00000X
Legal Business NameDESERT VALLEY MEDICAL GROUP, INC.
Location Address16716 BEAR VALLEY RDVictorville, CA 92395-5797
Mailing Address16850 Bear Valley RdVictorville, CA 92395-5794 · (760) 241-8000
Phone(760) 241-8000
Organization SubpartNo
Authorized OfficialKavitha BhatiaOwner · (760) 241-8000
Enumeration DateMay 18, 2006
Last NPPES UpdateAugust 23, 2022
NPPES CertifiedAugust 23, 2022
✔ NPI 1063465474 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
16716 BEAR VALLEY RD, Victorville, CA 92395
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Other Names 1

Former Legal Business NamePrimecare Medical Group Of Desert Valley, Inc.

Other Identifiers 1

OtherCC8406CA · Railroad Medicare

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 7

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 05D1006725

Desert Valley Medical Group Inc · Victorville, CA
Active · expires Nov 25, 2026
CLIA Number05D1006725
Laboratory TypePhysician Office
Certificate Effective DateNovember 26, 2024
Certificate Expiration DateNovember 25, 2026
Laboratory DirectorImran Siddiqui
Laboratory Phone(760) 241-8000
Laboratory LocationDesert Valley Medical Group Inc16850 Bear Valley Road, Victorville, CA 92395
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D1003576

Desert Valley Medical Group Inc · Victorville, CA
Active · expires Sep 3, 2026
CLIA Number05D1003576
Laboratory TypeHealth Fair
Certificate Effective DateSeptember 4, 2024
Certificate Expiration DateSeptember 3, 2026
Laboratory DirectorImran Siddiqui
Laboratory Phone(760) 241-8000
Laboratory LocationDesert Valley Medical Group Inc16716 Bear Valley Road, Victorville, CA 92395
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D0994471

Desert Valley Medical Group Inc · Victorville, CA
Active · expires Dec 13, 2027
CLIA Number05D0994471
Laboratory TypePhysician Office
Certificate Effective DateDecember 14, 2025
Certificate Expiration DateDecember 13, 2027
Laboratory DirectorImran Siddiqui
Laboratory Phone(760) 241-8000
Laboratory LocationDesert Valley Medical Group Inc12276 Hesperia Road Suite 1, Victorville, CA 92392
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2226326

Desert Valley Medical Group, Inc · Victorville, CA
Active · expires May 27, 2027
CLIA Number05D2226326
Laboratory TypePhysician Office
Certificate Effective DateMay 28, 2025
Certificate Expiration DateMay 27, 2027
Laboratory DirectorJosephine Corona
Laboratory Phone(760) 241-8000
Laboratory LocationDesert Valley Medical Group, Inc12351 Mariposa Rd, Victorville, CA 92395
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2223644

Desert Valley Medical Group, Inc · Victorville, CA
Active · expires May 6, 2027
CLIA Number05D2223644
Laboratory TypePhysician Office
Certificate Effective DateMay 7, 2025
Certificate Expiration DateMay 6, 2027
Laboratory DirectorJosephine Corona
Laboratory Phone(760) 241-8000
Laboratory LocationDesert Valley Medical Group, Inc11883 Amethyst Rd Suite 203, Victorville, CA 92392
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D0981349

Desert Valley Medical Group Inc · Victorville, CA
Active · expires Dec 21, 2026
CLIA Number05D0981349
Laboratory TypePhysician Office
Certificate Effective DateDecember 22, 2024
Certificate Expiration DateDecember 21, 2026
Laboratory DirectorThomas K. Mogensen
Laboratory Phone(760) 241-8000
Laboratory LocationDesert Valley Medical Group Inc12401 Hesperia Rd, Ste 9 & 10, Victorville, CA 92392
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALMA Y GEPFORD RD
Dietitian, Registered
16716 BEAR VALLEY RD
VICTORVILLE, CA 92395
San Bernardino County (760) 241-8000
DR. MOHAMMED AMIR HOSSAIN BABU MD
Internal Medicine
16716 BEAR VALLEY RD
VICTORVILLE, CA 92395
San Bernardino County (760) 241-8000
TAHIRA FARDOUS M.D
Student in an Organized Health Care Education/Training Program
16716 BEAR VALLEY RD
VICTORVILLE, CA 92395
San Bernardino County (760) 241-8000

Frequently 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.

Does Desert Valley Medical Group, Inc. hold CLIA laboratory certificates?

Yes. 7 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 3 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.