FOUNTAIN VALLEY GROUP SERVICES PC – NPI #1194670349
Internal Medicine

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Health Care Provider Taxonomy Code for Internal Medicine

FOUNTAIN VALLEY GROUP SERVICES PC is a provider located in INDIO, CA. NPPES has assigned the NPI number 1194670349 to FOUNTAIN VALLEY GROUP SERVICES PC on March 03, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Critical Care Medicine

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for FOUNTAIN VALLEY GROUP SERVICES PC below.

NPI Profile for
FOUNTAIN VALLEY GROUP SERVICES PC

NPI Number
1194670349
Enumeration Date

(about 3 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
FOUNTAIN VALLEY GROUP SERVICES PC
Primary location
47111 MONROE ST
INDIO, CA 92201-6739
Phone: (760) 347-6191 Fax:
Mailing address
5665 NEW NORTHSIDE DR STE 320
ATLANTA, GA 30328-5834
Phone: Fax:
Organization Subpart
No
Authorized Official
KIM LARSEN
VP, CREDENTIALING
Phone: (770) 874-5468
Updated
Certification Date
Mar 03, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0200X
- Internal Medicine / Critical Care Medicine (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.