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VALLEY HEART PHYSICIAN MEDICAL GROUP INC. NPI 1730350521


NPI Information

NPI: 1730350521
Provider Name: VALLEY HEART PHYSICIAN MEDICAL GROUP, INC.

Doing Business As: VALLEY HEART CENTER MEDICAL GROUP CARDIAC REHAB

Classification: Internal Medicine - 207R00000X
Entity Type: Organization
Address:
58457 29 PALMS HWY STE 200
YUCCA VALLEY, CA
ZIP 92284
Phone: (760) 228-1813
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VALLEY HEART PHYSICIAN MEDICAL GROUP, INC. is an internal medicine in Yucca Valley, CA. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. VALLEY HEART PHYSICIAN MEDICAL GROUP, INC. NPI is 1730350521. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Valley Heart Center Medical Group Cardiac Rehab.

The provider's business location address is:

58457 29 PALMS HWY STE 200
YUCCA VALLEY, CA
ZIP 92284-879
Phone: (760) 228-1813

The provider's authorized official is Madhusudhan Gupta .
The authorized official title is Owner and has the following contact phone number (760) 228-1813.

The enumeration date for this NPI number is 3/19/2008 and was last updated on 3/19/2008.


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
1207RC0000XInternal MedicineCardiovascular DiseaseA38511CALIFORNIANo
2207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyA38511CALIFORNIANo
3207RI0011XInternal MedicineInterventional CardiologyA38511CALIFORNIANo
4363LP2300XNurse PractitionerPrimary CareNP10511CALIFORNIANo
5207R00000XInternal MedicineA65342CALIFORNIAYes

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
1A88461MEDICARE UPINCALIFORNIA
2GR0071781MEDICAIDCALIFORNIA
3ZZZ52542ZOTHERCALIFORNIABLUE SHIELD
4ZZZ13102ZMEDICARE PINCALIFORNIA

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: 11/14/2023

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