Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Trident Medical Group Inc

Organization Internal Medicine Physician · NPI 1093498230

Trident Medical Group Inc is an Internal Medicine Physician in Apple Valley, California. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18564 US Highway 18 Ste 103&104
Apple Valley, CA 92307-2312
Phone: (760) 242-9262
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X

Record details

NPI number1093498230
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nyra Khetarpal — President · (484) 557-9511
NPI enumeratedAugust 14, 2023
Last updated in NPPESMarch 5, 2024
Certification dateMarch 5, 2024
Mailing address14050 Riverside Dr, Apple Valley, CA 92307-5335

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