Desert Valley Medical Group, Inc.
NPI 1639117864ActiveOrganization· Physical Therapist· Victorville, CA
Physical Therapist in Victorville, California, registered in NPPES in June 2006. The authorized official on file is Marie Langley, Ipa Administrator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1639117864 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 2, 2006 |
| Last updated in NPPES | Apr 27, 2020 |
| Certified by provider | Apr 27, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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