DESERT VISTA ANESTHESIOLOGY MEDICAL GROUP, INC.
NPI 1275674517
Anesthesiology in Victorville, CA

NPI Status: Active since February 09, 2007

Contact Information

15248 11TH ST
VICTORVILLE, CA
ZIP 92395
Phone: (760) 245-8691
Fax: (760) 843-6050

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  • Organization
  • Anesthesiology

About DESERT VISTA ANESTHESIOLOGY MEDICAL GROUP, INC.

This page provides the complete NPI Profile along with additional information for Desert Vista Anesthesiology Medical Group, Inc., an anesthesiologist established in Victorville, California operating as a Anesthesiology. The healthcare provider is registered in the NPI registry with number 1275674517 assigned on February 2007. The practitioner's primary taxonomy code is 207L00000X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Kenneth Percy Peterson M.d. (President)

NPI
1275674517
Provider Name
DESERT VISTA ANESTHESIOLOGY MEDICAL GROUP, INC.
Entity Type
Organization
Location Address
15248 11TH ST VICTORVILLE, CA 92395
Location Phone
(760) 245-8691
Location Fax
(760) 843-6050
Mailing Address
225 S LAKE AVE 535 PASADENA, CA 91101
Mailing Phone
(626) 795-6596
Mailing Fax
(760) 843-6050
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-09-2007
Last Update Date
07-18-2008
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An anesthesiologist like Desert Vista Anesthesiology Medical Group, Inc. manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Anesthesiology

Taxonomy Code
207L00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KENNETH PERCY PETERSON M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(805) 796-4595

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
ZZZ50059YOTHER (01)CABLUE SHIELD
GR0105710MEDICAID (05)CA 
ZZZ06028ZMEDICARE PIN (08)CA 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1275674517
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22145127852
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 4 + 5 + 1 + 2 + 7 + 8 + 5 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1275674517 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538143029MRS. MARIA CONCEPCION RABE MD
Individual
Anesthesiology15248 11TH ST
VICTORVILLE, CA 92395
(760) 245-8691
1548218811 YIN XIA QIAN P.A.
Individual
Physician Assistant15248 11TH ST EMERGENCY DEPARTMENT
VICTORVILLE, CA 92395
(760) 245-8691
1407804750DR. LEROY B. PASCAL M.D.
Individual
Emergency Medicine15248 11TH ST EMERGENCY DEPARTMENT
VICTORVILLE, CA 92395
(760) 245-8691
1235188400 MARK M. YOUSSEF M.D.
Individual
Emergency Medicine15248 11TH ST EMERGENCY DEPARTMENT
VICTORVILLE, CA 92395
(760) 245-8691
1245289388 PAULO REYES M.D.
Individual
Emergency Medicine15248 11TH ST EMERGENCY DEPARTMENT
VICTORVILLE, CA 92395
(760) 245-8691
1124077235 JOHN STROH M.D.
Individual
Emergency Medicine15248 11TH ST EMERGENCY DEPARTMENT
VICTORVILLE, CA 92395
(760) 245-8691
1891744728JJ&R EMERGENCY MEDICAL GROUP OF CALIFORNIA, INC.
Organization
Emergency Medicine15248 11TH ST EMERGENCY DEPARTMENT
VICTORVILLE, CA 92395
(760) 245-8691
1275577504DR. GLENN P. WEDEEN M.D.
Individual
Radiology (Diagnostic Radiology)15248 11TH ST
VICTORVILLE, CA 92395
(760) 843-6092
1326068743 TOMASZ J PAWLOWSKI MD
Individual
Pathology (Cytopathology)15248 11TH ST
VICTORVILLE, CA 92395
(760) 843-6116
1093723215 CARMEN CASTILLO SANTOS M.D.
Individual
Anesthesiology15248 11TH ST
VICTORVILLE, CA 92395
(760) 843-6075
1164547972DR. LYDIA CRUZ M.D.
Individual
Anesthesiology15248 11TH ST
VICTORVILLE, CA 92395
(760) 245-8691
1114174778ARCADIA PATHOLOGY MEDICAL GROUP
Organization
Pathology (Anatomic Pathology & Clinical Pathology)15248 11TH ST
VICTORVILLE, CA 92395
(760) 245-8691
1184878167REDA M TADROS MD INC
Organization
Pathology (Anatomic Pathology & Clinical Pathology)15248 11TH ST
VICTORVILLE, CA 92395
(760) 843-6262
1750330932 ANDREW S. KHAN D.O.
Individual
Emergency Medicine15248 11TH ST EMERGENCY DEPARTMENT
VICTORVILLE, CA 92395
(760) 245-8691
1962867754PREMIER HEALTH PARTNERS
Organization
Emergency Medicine15248 11TH ST
VICTORVILLE, CA 92395
(760) 843-6099
1912956319 RENE D. LOYA M.D.
Individual
Emergency Medicine15248 11TH ST EMERGENCY DEPARTMENT
VICTORVILLE, CA 92395
(760) 245-8691
1952311953VICTOR VALLEY COMMUNITY HOSPITAL
Organization
General Acute Care Hospital15248 11TH ST
VICTORVILLE, CA 92395
(760) 245-8691
1114063294GLENN P. WEDEEN MD A MEDICAL CORPORATION
Organization
Radiology (Diagnostic Radiology)15248 11TH ST
VICTORVILLE, CA 92395
(760) 245-8691
1225154818STEPHEN E. HILLER, M.D. A MEDICAL CORPORATION
Organization
Emergency Medicine15248 11TH ST
VICTORVILLE, CA 92395
(760) 245-8691
1619191079VICTOR VALLEY COMMUNITY HOSPITAL
Organization
General Acute Care Hospital15248 11TH ST
VICTORVILLE, CA 92395
(760) 245-8691

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1275674517, enumerated in the NPI registry as an "organization" on February 09, 2007

The provider is located at 15248 11th St Victorville, Ca 92395 and the phone number is (760) 245-8691

This medical organization specializes in Anesthesiology with taxonomy code 207L00000X

The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on February 09, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.