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VALLE VERDE MEDICAL GROUP INC NPI 1558472720


NPI Information

NPI: 1558472720
Provider Name: VALLE VERDE MEDICAL GROUP INC

Doing Business As: VALLE VERDE MEDICAL GROUP INC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D0685691

Address:
1332 NATIVIDAD RD STE C
SALINAS, CA
ZIP 93906
Phone: (831) 754-1544
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VALLE VERDE MEDICAL GROUP INC is a family medicine in Salinas, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. VALLE VERDE MEDICAL GROUP INC NPI is 1558472720. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Valle Verde Medical Group Inc.

The provider's business location address is:

1332 NATIVIDAD RD STE C
SALINAS, CA
ZIP 93906-133
Phone: (831) 754-1544
Fax: (831) 754-2984

The provider's authorized official is Stephen Dower Saglio .
The authorized official title is Chief Executive Officer and has the following contact phone number (831) 754-1544.

The CLIA number assigned to this NPI record is 05D0685691 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/31/2006 and was last updated on 1/25/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineG77264CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11558472720OTHERNATIONAL PROVIDER IDENTIFIER
2F93472MEDICARE UPINCALIFORNIA
3GR0091130OTHERCALIFORNIAMEDI-CAL
4ZZZ21765ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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