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

Kenneth Johan, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1124690656

Kenneth Johan, MD is an Internal Medicine in Victorville, California. Qualified in 2018, 8 years ago. Practices with Desert Valley Medical Group Inc, a 79-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2021
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

16850 Bear Valley Rd
Victorville, CA 92395-5794
Phone: (760) 241-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 234 E 149th St Ste 8-20, Bronx, NY 10451-5504 — (718) 579-5000

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A195154 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1124690656
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 14, 2021
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Desert Valley Medical Group Inc — 79 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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