DESERT VALLEY MEDICAL GROUP, INC.
NPI 1114973914
Family Medicine in Hesperia, CA

Active since May 25, 2006CLIA 05D2284232 · Waiver
17450 MAIN ST, HESPERIA, CA 92345(760) 241-8000 Get Directions Write a Review

NPPES record last updated: August 23, 2022. Verified against the NPPES registry weekly; last sync: July 26, 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 1114973914), doing business as Primecare Medical Group Of Desert Valley, Inc., is a healthcare organization registered as a family medicine in Hesperia, California and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through June 19, 2027 and lists Kavitha Bhatia, Owner, as its authorized official.

NPPES Registry Identity

NPI1114973914
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDESERT VALLEY MEDICAL GROUP, INC.
Location Address17450 MAIN STHesperia, CA 92345-6298
Mailing Address16850 Bear Valley RdVictorville, CA 92395-5794 · (760) 241-8000
Organization SubpartNo
Authorized OfficialKavitha BhatiaOwner · (760) 241-8000
Enumeration DateMay 25, 2006
Last NPPES UpdateAugust 23, 2022
NPPES CertifiedAugust 23, 2022
NPI 1114973914 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
17450 MAIN ST, Hesperia, CA 92345

Other Names 1

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

Other Identifiers 3

MedicaidGR0072091CA
Other4584430006CA · Dmerc
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

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 05D2284232

Desert Valley Medical Group · Victorville, CA
Active · expires Jun 19, 2027
CLIA Number05D2284232
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2025
Certificate Expiration DateJune 19, 2027
Laboratory DirectorRabe Alhurani
Laboratory Phone(760) 241-8000
Laboratory LocationDesert Valley Medical Group12998 Hesperia Road, Suite 101, Victorville, CA 92395
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 2

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

Internal Medicine
17450 MAIN ST, F
HESPERIA, CA 92345
Clinic/Center (Health Service)
17450 MAIN ST, SUITE F
HESPERIA, CA 92345

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 1114973914. It was assigned to this organization in the NPPES registry on May 25, 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 17450 Main St, Hesperia, CA 92345. 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 Family Medicine with taxonomy code 207Q00000X.

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

Yes. A Certificate of Waiver (number 05D2284232) is associated with this NPI, valid through June 19, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

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 with the weekly NPPES data releases published by CMS.