1. Home
  2. Directory
  3. California
  4. Apple Valley
  5. Family Medicine
  6. NPI Profile

DANA PETRUS, M.D., INC.
NPI 1164596896
Family Medicine in Apple Valley, CA

Active since November 17, 2006CLIA 05D1061624 · Waiver
18031 HWY 18, SUITE B, APPLE VALLEY, CA 92307(760) 242-7770(760) 242-7760 Get Directions Write a Review

NPPES record last updated: July 22, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dana Petrus, M.d., Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DANA PETRUS, M.D., INC. (NPI 1164596896) is a healthcare organization registered as a family medicine in Apple Valley, California and active in the NPI registry since November 2006. The organization holds a CLIA Waiver certificate valid through November 29, 2027 and lists Dana C Petrus, President, as its authorized official.

NPPES Registry Identity

NPI1164596896
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDANA PETRUS, M.D., INC.
Location Address18031 HWY 18, SUITE BApple Valley, CA 92307
Mailing Address18031 Hwy 18, Suite BApple Valley, CA 92307-0000 · (760) 242-7770 · Fax (760) 242-7760
Phone(760) 242-7770
Fax(760) 242-7760
Organization SubpartNo
Authorized OfficialDana C PetrusPresident · (760) 242-7770
Enumeration DateNovember 17, 2006
Last NPPES UpdateJuly 22, 2009
✔ NPI 1164596896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A79858
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.
18031 HWY 18, Apple Valley, CA 92307
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINH92719CA
Medicare PINDO8827CA
Medicare PINZZZ03895ZCA
Medicare PIN00A798581CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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 05D1061624

Dana Petrus MD Inc · Apple Valley, CA
Active · expires Nov 29, 2027
CLIA Number05D1061624
Laboratory TypePhysician Office
Certificate Effective DateNovember 30, 2025
Certificate Expiration DateNovember 29, 2027
Laboratory DirectorDana C. Petrus MD
Laboratory Phone(760) 242-7770
Laboratory LocationDana Petrus MD Inc19290 Us Highway 18, Apple Valley, CA 92307
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Dana Petrus, M.D., Inc.'s NPI number?

The NPI number for Dana Petrus, M.D., Inc. is 1164596896. It was assigned to this organization in the NPPES registry on November 17, 2006.

Where is Dana Petrus, M.D., Inc. located?

Dana Petrus, M.D., Inc. is located at 18031 Hwy 18 Suite B, Apple Valley, CA 92307. The listed phone number is (760) 242-7770.

What is Dana Petrus, M.D., Inc.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Dana Petrus, M.D., Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1061624) is associated with this NPI, valid through November 29, 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 Dana Petrus, M.D., Inc. was last updated on July 22, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.