Desert Valley Medical Group, Inc. - Medicare Physical Therapist in Victorville, CA

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Desert Valley Medical Group, Inc. is a medicare enrolled "Physical Therapist" provider in Victorville, California. Their current practice location is 12421 Hesperia Rd, Victorville, California. You can reach out to their office (for appointments etc.) via phone at (760) 241-8000.

Desert Valley Medical Group, Inc. is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Desert Valley Medical Group, Inc. is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1639117864.

Contact Information

Desert Valley Medical Group, Inc.
12421 Hesperia Rd,
Victorville, CA 92395-7703
(760) 241-8000
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDesert Valley Medical Group, Inc.
TypeFacility
SpecialityPhysical Therapist
Location12421 Hesperia Rd, Victorville, California
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1639117864
  • Provider Enumeration Date: 06/02/2006
  • Last Update Date: 04/27/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 4880595875
  • Enrollment ID: O20040113000803

Medical Identifiers

Medical identifiers for Desert Valley Medical Group, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639117864NPI-NPPES
4584430009OtherCADMERC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Desert Valley Medical Group, Inc. acts as a billing entity for following providers:
Provider NameLeroy B Pascal
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1407804750
PECOS PAC ID: 5991601866
Enrollment ID: I20031210001042
Provider NameRajeev Md Gulati
Provider TypePractitioner - Cardiac Surgery
Provider IdentifiersNPI Number: 1376579664
PECOS PAC ID: 5395648950
Enrollment ID: I20040130000294
Provider NameMark J Beller
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1982660387
PECOS PAC ID: 2769375591
Enrollment ID: I20040205000630
Provider NameOm P Sood
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023182763
PECOS PAC ID: 0446143051
Enrollment ID: I20040206000432
Provider NameSreekanth Ganapavarapu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336107648
PECOS PAC ID: 3476448572
Enrollment ID: I20040218000199
Provider NameCathy M Mcgowan
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1700878899
PECOS PAC ID: 1254228398
Enrollment ID: I20040302001436
Provider NameVikram S Parmar
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1154392116
PECOS PAC ID: 7911980040
Enrollment ID: I20040610000484
Provider NameRonald Todd Peterson
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1477533586
PECOS PAC ID: 8123004033
Enrollment ID: I20040629001252
Provider NameNeera Grover
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1023169489
PECOS PAC ID: 7517946916
Enrollment ID: I20040719000856
Provider NameGeorge A Ponce
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1174554935
PECOS PAC ID: 0143296962
Enrollment ID: I20040902001309
Provider NameHumberto A Silva
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1134158520
PECOS PAC ID: 9537136395
Enrollment ID: I20040913000579
Provider NameSumitha Rajkumar
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1831200963
PECOS PAC ID: 7214985019
Enrollment ID: I20050108000167
Provider NameArchna Sood
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003980756
PECOS PAC ID: 5698721991
Enrollment ID: I20050330000320
Provider NamePeter Fischl
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1841374055
PECOS PAC ID: 7517906001
Enrollment ID: I20050425000887
Provider NameSandra M Stewart
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1871651307
PECOS PAC ID: 4880635002
Enrollment ID: I20050518000718
Provider NameHerman R Mcdaniel
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1063524130
PECOS PAC ID: 9335185180
Enrollment ID: I20050630001170
Provider NameMaryam Zand
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1285746370
PECOS PAC ID: 0840226890
Enrollment ID: I20050712000470
Provider NamePrabhakar Tummala
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1780639344
PECOS PAC ID: 1355372848
Enrollment ID: I20050824000754
Provider NameDavid G Surdyka
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1356324461
PECOS PAC ID: 4587698758
Enrollment ID: I20050927000310
Provider NameWahid Midou
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1275563967
PECOS PAC ID: 8527075076
Enrollment ID: I20060308000821
Provider NameJamal D Mustafa
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1366486854
PECOS PAC ID: 6709880958
Enrollment ID: I20060831000300
Provider NameKent L Seright
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1770595993
PECOS PAC ID: 2668476375
Enrollment ID: I20060912000428
Provider NameMichael Ali
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1457317547
PECOS PAC ID: 9133143910
Enrollment ID: I20061005000392
Provider NameSteve S Bae
Provider TypePractitioner - General Surgery
Provider IdentifiersNPI Number: 1326072349
PECOS PAC ID: 4183622772
Enrollment ID: I20061114000462
Provider NameGilbert Y Zini
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1558375303
PECOS PAC ID: 2961404116
Enrollment ID: I20070201000252
Provider NameJose Luis Noronha
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1992888317
PECOS PAC ID: 4284724832
Enrollment ID: I20071219000473
Provider NameDaniel L Quion
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1518902386
PECOS PAC ID: 3274611611
Enrollment ID: I20080424000633
Provider NameCharbel E Aoun
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1023121217
PECOS PAC ID: 2264503630
Enrollment ID: I20080612000854
Provider NameGeetha K Reddy
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043260540
PECOS PAC ID: 4385715093
Enrollment ID: I20080623000600
Provider NameVivian Nguyen
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1689869570
PECOS PAC ID: 9739247057
Enrollment ID: I20081015000172
Provider NameKunal Kalra
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1205015468
PECOS PAC ID: 8921166489
Enrollment ID: I20081028000199
Provider NameMarivic A Faustino
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700058476
PECOS PAC ID: 6406910264
Enrollment ID: I20090123000192
Provider NameRobert J Macarthur
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1508949470
PECOS PAC ID: 9537149505
Enrollment ID: I20090622000069
Provider NameCarlo G Garibaldi
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1083745178
PECOS PAC ID: 8224178025
Enrollment ID: I20091229000186
Provider NameDiane C Mercer
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1629391867
PECOS PAC ID: 9638207103
Enrollment ID: I20100505000237
Provider NameSamuel S Lee
Provider TypePractitioner - Urology
Provider IdentifiersNPI Number: 1194772418
PECOS PAC ID: 5496828485
Enrollment ID: I20100910000977
Provider NameParamjit Sandhu
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1871756544
PECOS PAC ID: 2567644743
Enrollment ID: I20110309000310
Provider NameAl Jen Wang
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1326295288
PECOS PAC ID: 6901077015
Enrollment ID: I20110921000841
Provider NameSolomon Kuah
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1730383019
PECOS PAC ID: 2365471612
Enrollment ID: I20120502000522
Provider NameJoseph M Ho
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1861756975
PECOS PAC ID: 3779740451
Enrollment ID: I20120827000708
Provider NameKok Chye Tan
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1891974283
PECOS PAC ID: 4284766080
Enrollment ID: I20120904000613
Provider NameAnousheh N Ashouri
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1336305036
PECOS PAC ID: 3274769898
Enrollment ID: I20131203001714
Provider NameHugo M Razo
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1508187170
PECOS PAC ID: 0648407304
Enrollment ID: I20131230001266
Provider NameMike J Farag
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1396056305
PECOS PAC ID: 5597916379
Enrollment ID: I20140312001496
Provider NameMehwish Aslam
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1366721722
PECOS PAC ID: 3678795267
Enrollment ID: I20141114001990
Provider NameAngela O Sojobi
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1154382216
PECOS PAC ID: 0244288066
Enrollment ID: I20150123000010
Provider NameJeremy Allen Busch
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1295095271
PECOS PAC ID: 1557673407
Enrollment ID: I20150709000688
Provider NameChristopher Ruiz
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1306258058
PECOS PAC ID: 0941518104
Enrollment ID: I20151007003060
Provider NameJose Manuel Ortega
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1043697378
PECOS PAC ID: 2769791060
Enrollment ID: I20151028001312
Provider NameShagufta H Shaikh
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1285657650
PECOS PAC ID: 5698812287
Enrollment ID: I20151029001172
Provider NameJhoette A Dumlao
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1104110105
PECOS PAC ID: 9537382965
Enrollment ID: I20161128002395
Provider NameTaline Bedelian
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1396141008
PECOS PAC ID: 4486967742
Enrollment ID: I20170329001625
Provider NameFrancis O Okpan
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891146767
PECOS PAC ID: 9335425925
Enrollment ID: I20170413002684
Provider NameLisa M Rogers
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1083985832
PECOS PAC ID: 2163726019
Enrollment ID: I20170501001861
Provider NameStephen Kolakowski
Provider TypePractitioner - Vascular Surgery
Provider IdentifiersNPI Number: 1003971102
PECOS PAC ID: 9133229461
Enrollment ID: I20170511001340
Provider NameLeslie Scarrott
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578093282
PECOS PAC ID: 7113299744
Enrollment ID: I20170816004653
Provider NameThomas K Mogensen
Provider TypePractitioner - Preventive Medicine
Provider IdentifiersNPI Number: 1578865671
PECOS PAC ID: 4587938436
Enrollment ID: I20170915003184
Provider NameSamir Nayyar
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1063703270
PECOS PAC ID: 8325332810
Enrollment ID: I20171108002280
Provider NameHamed Shalikar
Provider TypePractitioner - General Practice
Provider IdentifiersNPI Number: 1174988935
PECOS PAC ID: 4688932320
Enrollment ID: I20171229001028
Provider NameImran M Siddiqui
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1134535792
PECOS PAC ID: 9436422649
Enrollment ID: I20180417002557
Provider NameMaribel Placensio-guzman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1154819548
PECOS PAC ID: 7618224940
Enrollment ID: I20180718001737
Provider NameRoberta Moralez
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1508348384
PECOS PAC ID: 3678817632
Enrollment ID: I20181130002534
Provider NameJimmy Tam Huy Pham
Provider TypePractitioner - Nephrology
Provider IdentifiersNPI Number: 1982087391
PECOS PAC ID: 1052620234
Enrollment ID: I20181205001466
Provider NameRobert J Leonard
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1013337641
PECOS PAC ID: 2860769783
Enrollment ID: I20190222001934
Provider NameRandolph Salbino
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1275002420
PECOS PAC ID: 8921348533
Enrollment ID: I20190319000152
Provider NameCarlene H Willis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740796358
PECOS PAC ID: 9739412685
Enrollment ID: I20190607000225
Provider NameLorraine Rabadi
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1548825953
PECOS PAC ID: 3173889086
Enrollment ID: I20190619003529
Provider NameAmeerah Ann-shaban Shalikar
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1275911315
PECOS PAC ID: 0042583536
Enrollment ID: I20190712000691
Provider NameLiza Gill
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1508240458
PECOS PAC ID: 6608126727
Enrollment ID: I20190815002221
Provider NameAdnan Mohsin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1629429980
PECOS PAC ID: 8426392523
Enrollment ID: I20190916002952
Provider NamePooja Tanjavour
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1972919983
PECOS PAC ID: 0941539928
Enrollment ID: I20190917002537
Provider NameKrishna Kumar Das
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1972820660
PECOS PAC ID: 4284941626
Enrollment ID: I20191011002438
Provider NameTyrone Butler
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1861874612
PECOS PAC ID: 4183974918
Enrollment ID: I20200106000006
Provider NameKrystle Frazier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1013568526
PECOS PAC ID: 9234564071
Enrollment ID: I20200213001506
Provider NameJazma Phelps
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1104213271
PECOS PAC ID: 5496002974
Enrollment ID: I20200324002430
Provider NameTeresa Ann Jarvis
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1851610661
PECOS PAC ID: 7618150616
Enrollment ID: I20200529001513
Provider NameSridhar Reddy
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1669817987
PECOS PAC ID: 7113341991
Enrollment ID: I20200727002296
Provider NameAnn E Oleneck
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1609401124
PECOS PAC ID: 7416373170
Enrollment ID: I20200812003027
Provider NameSwati Baveja
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1881002939
PECOS PAC ID: 2365733730
Enrollment ID: I20200821001644
Provider NameJosephine Francine Corona
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1093248296
PECOS PAC ID: 5890113971
Enrollment ID: I20200922002912
Provider NameStephany Salazar
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1265088116
PECOS PAC ID: 0143654392
Enrollment ID: I20200930002458
Provider NameDuvan Martinez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1942865381
PECOS PAC ID: 5698195071
Enrollment ID: I20201023002223
Provider NameAlexander Cruise
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1114381530
PECOS PAC ID: 3779819248
Enrollment ID: I20201216002687
Provider NameMark Thomas Bernardi
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1073900536
PECOS PAC ID: 3476818667
Enrollment ID: I20210210002360
Provider NameSyed Nawas Ahmed
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1619474558
PECOS PAC ID: 1759781883
Enrollment ID: I20210611000493
Provider NameJose Fernando Velasquez
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1053897561
PECOS PAC ID: 7517369804
Enrollment ID: I20210708002967
Provider NameKelly Lewis
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1427640150
PECOS PAC ID: 3173926383
Enrollment ID: I20210726003315
Provider NameSabah Ahmed
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1114405974
PECOS PAC ID: 2567711740
Enrollment ID: I20211230000831
Provider NameMohammed Ibbad Yousuf
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1588155329
PECOS PAC ID: 8325431828
Enrollment ID: I20220204001611
Provider NameMichelle Juat
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558034637
PECOS PAC ID: 6406241603
Enrollment ID: I20220325001497
Provider NameJohn Lee
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1750879755
PECOS PAC ID: 5193060358
Enrollment ID: I20220426000790
Provider NameVeena S Katikineni
Provider TypePractitioner - Rheumatology
Provider IdentifiersNPI Number: 1346770971
PECOS PAC ID: 2961824214
Enrollment ID: I20220427002058
Provider NameDaniela Bello Germino
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1518319086
PECOS PAC ID: 7719272574
Enrollment ID: I20220503002231
Provider NameRoy Robert Akarakian
Provider TypePractitioner - Sports Medicine
Provider IdentifiersNPI Number: 1295232338
PECOS PAC ID: 5294134565
Enrollment ID: I20220516001474
Provider NameTanaia M Carmichael
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679220560
PECOS PAC ID: 0547531816
Enrollment ID: I20220615002171
Provider NameSooraj Malay Shah
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1902041643
PECOS PAC ID: 7719175272
Enrollment ID: I20220715001472
Provider NameChaille Mintah
Provider TypePractitioner - Emergency Medicine
Provider IdentifiersNPI Number: 1265828255
PECOS PAC ID: 3678824042
Enrollment ID: I20220720001985
Provider NameRabe Elias Jamil Alhurani
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1740778398
PECOS PAC ID: 9436406386
Enrollment ID: I20221006000268
Provider NameElizabeth Anne Dederick
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619602570
PECOS PAC ID: 3779967542
Enrollment ID: I20221031001193
Provider NameMehrnaz Salehidobakhshari
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1003165291
PECOS PAC ID: 8729455225
Enrollment ID: I20221111001292
Provider NameLakshmanan Sivasundaram
Provider TypePractitioner - Orthopedic Surgery
Provider IdentifiersNPI Number: 1245694462
PECOS PAC ID: 2365851664
Enrollment ID: I20221128002271
Provider NameKrystal R Schwing
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1912513599
PECOS PAC ID: 0042688798
Enrollment ID: I20221130001695
Provider NameBernice P Kahkosko
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730816877
PECOS PAC ID: 4082084454
Enrollment ID: I20221228002985
Provider NameDina Badreldin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1699401414
PECOS PAC ID: 9032581160
Enrollment ID: I20230217001498
Provider NameWesam A Alhejily
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1437412814
PECOS PAC ID: 4981079316
Enrollment ID: I20230417001111
Provider NameMaria Eissel Mercado Velasco
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558085068
PECOS PAC ID: 6507221561
Enrollment ID: I20230426000439
Provider NameAzaduhi Kalaydjian
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1619685633
PECOS PAC ID: 6507222601
Enrollment ID: I20230516001184
Provider NameElizabeth J Bolaji
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1588728422
PECOS PAC ID: 3678811999
Enrollment ID: I20230517001327
Provider NameNicole D Christian
Provider TypePractitioner - Qualified Speech Language Pathologist
Provider IdentifiersNPI Number: 1649994591
PECOS PAC ID: 6305208869
Enrollment ID: I20230815002849
Provider NameIsaias Rodolfo Vargas
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1992296545
PECOS PAC ID: 4981079233
Enrollment ID: I20230927002516
Provider NameMohammad Modassir Siddiqui
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1356963185
PECOS PAC ID: 8325497910
Enrollment ID: I20231207002585
Provider NameAmanda Nicole Polanco
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1235902735
PECOS PAC ID: 2466803267
Enrollment ID: I20240105001602
Provider NameAmber C Mccarter
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1902675853
PECOS PAC ID: 7517306558
Enrollment ID: I20240423003456
Provider NameHanna Nicole Jager
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891558086
PECOS PAC ID: 8921440413
Enrollment ID: I20240529003774

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Desert Valley Medical Group, Inc. is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Desert Valley Medical Group, Inc.
16850 Bear Valley Rd,
Victorville, CA 92395-5794

Ph: (760) 241-8000		Desert Valley Medical Group, Inc.
12421 Hesperia Rd,
Victorville, CA 92395-7703

Ph: (760) 241-8000

Reviews and Comments


Physical Therapist in Victorville, CA

Joanne Ingram, RPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 17270 Bear Valley Rd, Ste E-105, Victorville, CA 92395
Phone: 760-955-6061    Fax: 760-955-6062
Janette Joyce Mary Coppotelli, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 17270 Bear Valley Rd, Suite E-105, Victorville, CA 92395
Phone: 760-955-6061    Fax: 760-955-6062
Nicholas Kasischke, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 15095 Amargosa Rd Ste 106, Victorville, CA 92394
Phone: 760-245-6495    
Amanda Shin, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 17270 Bear Valley Rd Ste 105, Victorville, CA 92395
Phone: 760-245-8828    
Karley Ruble,
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 12241 Industrial Blvd Ste 210, Victorville, CA 92395
Phone: 800-489-6905    
Lauretta Marie Rustad, PT, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 12402 Industrial Blvd, Suite B-2, Victorville, CA 92395
Phone: 760-955-6061    Fax: 760-955-6062
Optimum Care Provider, Inc.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 12381 Bali St, Victorville, CA 92392
Phone: 909-509-6064    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.