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VALLEY PODIATRY GROUP INC NPI 1912919358


NPI Information

NPI: 1912919358
Provider Name: VALLEY PODIATRY GROUP INC
Classification: Podiatrist - 213E00000X
Entity Type: Organization
Address:
3031 W MARCH LANE
SUITE 310
STOCKTON, CA
ZIP 95219
Phone: (209) 472-0800
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VALLEY PODIATRY GROUP INC is a podiatrist in Stockton, CA. The provider is a podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. VALLEY PODIATRY GROUP INC NPI is 1912919358. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3031 W MARCH LANE
SUITE 310
STOCKTON, CA
ZIP 95219-500
Phone: (209) 472-0800
Fax: (209) 472-1203

The provider's authorized official is Kenneth K Shimozaki .
The authorized official title is Ceo and has the following contact phone number (209) 472-0800.

The enumeration date for this NPI number is 8/13/2006 and was last updated on 11/19/2007.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213E00000XPodiatristYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1ZZZ25747ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
24800910001MEDICARE NSCCALIFORNIA
3GRE001670MEDICAIDCALIFORNIA

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: 5/5/2024

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