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

Valley Wide Medical Group Inc

Organization Family Medicine Physician · NPI 1023295458

Valley Wide Medical Group Inc is a Family Medicine Physician in Boron, California. Licensed in California. Registered with an NPI since 2008.

Licensed in
CA
In the registry since
2008
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

12500 Boron Ave
Boron, CA 93730
Phone: (760) 762-5111
Fax: (760) 762-5695
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A89858 (CA)

Record details

NPI number1023295458
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Prabhakar Tummala — President · (909) 945-7687
NPI enumeratedJanuary 29, 2008
Last updated in NPPESJune 23, 2008
Mailing address12500 Boron Ave, Boron, CA 93730