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FOUNTAIN VALLEY GROUP SERVICES PC
NPI 1194670349
Internal Medicine - Critical Care Medicine in Indio, CA

Active since March 03, 2026
47111 MONROE ST, INDIO, CA 92201(760) 347-6191 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fountain Valley Group Services Pc NPPES

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

FOUNTAIN VALLEY GROUP SERVICES PC (NPI 1194670349) is a healthcare organization registered as a critical care medicine in Indio, California and active in the NPI registry since March 2026. The organization lists Kim H Larsen, Vp, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1194670349
Entity TypeOrganization
Primary Taxonomy207RC0200X
Legal Business NameFOUNTAIN VALLEY GROUP SERVICES PC
Location Address47111 MONROE STIndio, CA 92201-6739
Mailing Address5665 New Northside Dr Ste 320Atlanta, GA 30328-5834
Phone(760) 347-6191
Organization SubpartNo
Authorized OfficialKim H LarsenVp, Credentialing · (770) 874-5468
Enumeration DateMarch 3, 2026
NPPES CertifiedMarch 3, 2026
✔ NPI 1194670349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
47111 MONROE ST, Indio, CA 92201
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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

Other Providers at the Same Location NPPES 20

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

CHRISTINE GUZON PAGUNURAN PA-C
Physician Assistant
47111 MONROE ST
INDIO, CA 92201
Riverside County (760) 347-6191
KENNETH GLEN WYS MD
Internal Medicine (Critical Care Medicine)
47111 MONROE ST
INDIO, CA 92201
Riverside County (760) 347-6191
FOUNTAIN VALLEY GROUP SERVICES PC
Hospitalist
47111 MONROE ST
INDIO, CA 92201
Riverside County (760) 347-6191
TIMOTHY KENT EVJE PA-C
Physician Assistant
47111 MONROE ST
INDIO, CA 92201
Riverside County (760) 775-8111
DREW ZIMMER PA
Physician Assistant
47111 MONROE ST
INDIO, CA 92201
Riverside County (760) 347-6191
VALLEY ANESTHESIOLOGY SERVICES
Anesthesiology
47111 MONROE ST
INDIO, CA 92201
Riverside County (562) 407-2080
LALEH GHAFFARIAN
Emergency Medicine
47111 MONROE ST
INDIO, CA 92201
Riverside County (760) 347-6191
RAFAEL JIMENEZ III PA
Physician Assistant
47111 MONROE ST
INDIO, CA 92201
Riverside County (760) 347-6191

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 Fountain Valley Group Services PC's NPI number?

The NPI number for Fountain Valley Group Services PC is 1194670349. It was assigned to this organization in the NPPES registry on March 3, 2026.

Where is Fountain Valley Group Services PC located?

Fountain Valley Group Services PC is located at 47111 Monroe St, Indio, CA 92201. The listed phone number is (760) 347-6191.

What is Fountain Valley Group Services PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

When was this NPI record last updated?

The NPPES record for Fountain Valley Group Services PC was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.