DR. MICHAEL RICHARD VALLO M.D. NPI 1912083650

NPI Information

  • NPI: 1912083650
  • Provider Name: DR. MICHAEL RICHARD VALLO, M.D.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • Address: 1617 BROADWAY ST
    VALLEJO, CA
    ZIP 94590
  • Phone: (707) 556-3794

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NPI Details

DR. Michael Richard Vallo, M.D. is a general practice in Vallejo, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee DR. Michael Richard Vallo, M.D. NPI is 1912083650. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1617 BROADWAY ST
VALLEJO, CA
ZIP 94590-406
Phone: (707) 556-3794

The enumeration date for this NPI number is 10/27/2006 and was last updated on 12/17/2021.

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
1208D00000XGeneral PracticeG069087CALIFORNIAYes

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: 11/21/2025

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