VALLEY PATHOLOGY MEDICAL GROUP (NPI# 1023314507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023314507 |
| Entity Type | Organization |
| Organization Name | VALLEY PATHOLOGY MEDICAL GROUP |
| Practice Address |
1117 E Devonshire Ave Hemet CA 92543-3083 |
| Mailing Address |
Po Box 10076 Van Nuys CA 91410-0076 |
| Practice Telephone | 9516522811 |
| Mailing Telephone | 8055788300 |
| Mailing Fax Number | 8055783911 |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-02-01 |
| Authorized Official Name | ALAN MARE (PRESIDENT) |
| Authorized Official Telephone | 9519256318 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 05D2006190 | CA | Laboratories |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467776203 | Valley Pathology Medical Group | Clinical Medical Laboratory | 395 N San Jacinto St, Suite 3c, Hemet, CA 92543-3109 | 2010-03-23 |
| 1275546129 | Valley Pathology Medical Group | Pathology | 1117 E Devonshire Ave, Hemet, CA 92543-3083 | 2006-08-14 |
| Street Address |
1117 E DEVONSHIRE AVE |
| City | HEMET |
| State | CA |
| Zip Code | 92543-3083 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912993155 | Igor Mark Bron | Anesthesiology | 1117 E Devonshire Ave, Hemet, CA 92543-3083 | 2005-09-22 |
| 1144848599 | Sarah Elizabeth Miller | Dietitian, Registered | 1117 E Devonshire Ave, Hemet, CA 92543-3083 | 2020-07-13 |
| 1508487299 | Spencer Walser | Student in an Organized Health Care Education/Training Program | 1117 E Devonshire Ave, Hemet, CA 92543-3083 | 2020-05-04 |
| 1033738539 | Heather Erin Maoz | Student in an Organized Health Care Education/Training Program | 1117 E Devonshire Ave, Hemet, CA 92543-3083 | 2020-04-14 |
| 1154940138 | Shipra Saigal | Student in an Organized Health Care Education/Training Program | 1117 E Devonshire Ave, Hemet, CA 92543-3083 | 2020-04-10 |
| 1649899790 | Ryan Narbutas | Student in an Organized Health Care Education/Training Program | 1117 E Devonshire Ave, Hemet, CA 92543-3083 | 2020-04-09 |
| 1568081784 | Aimee Kristina Madsen | Student in an Organized Health Care Education/Training Program | 1117 E Devonshire Ave, Hemet, CA 92543-3083 | 2020-04-09 |
| 1013536028 | Prithi Choday | Student in an Organized Health Care Education/Training Program | 1117 E Devonshire Ave, Hemet, CA 92543-3083 | 2020-04-09 |
| 1194354431 | Andrew Keldgord | Student in an Organized Health Care Education/Training Program | 1117 E Devonshire Ave, Hemet, CA 92543-3083 | 2020-04-08 |
| 1235768359 | Michael D Seigler | Student in an Organized Health Care Education/Training Program | 1117 E Devonshire Ave, Hemet, CA 92543-3083 | 2020-04-02 |
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|---|---|---|---|---|
| 1114565801 | Ada Maria P Benson | In Home Supportive Care | 235 S. Lyon, Hemet, CA 92543 | 2019-12-13 |
| 1336790963 | Lorilea Paige Williams | Family Medicine | Apex Medical Group, 890 West Stetson Ave # B, Hemet, CA 92543 | 2019-09-25 |
| 1760954291 | Pacifica Sl Hemet LLC | Alzheimer Center (Dementia Center) | 1177 South Palm Avenue, Hemet, CA 92543 | 2018-12-21 |
| 1902381080 | Quan Uyen Truong | Counselor | 1105 E. Florida Ave, Hemet, CA 92543 | 2018-09-25 |
| 1013404318 | Kyle Ransom | Student in an Organized Health Care Education/Training Program | Hemet Valley Medical Center, 1117 East Devonshire Ave, Hemet, CA 92543 | 2018-04-23 |
| 1851838817 | New Hope Christian Counseling Foundation, Inc | Community/Behavioral Health | 464 S Palm Ave Ste C-d, Hemet, CA 92543 | 2017-01-27 |
| 1154873909 | Aliuddin Khaja, Md., Inc | Psychiatry & Neurology | 1300 W. Florida Ave, Suite - C, Hemet, CA 92543 | 2016-10-27 |
| 1891140265 | Roshan Razavi | Family Medicine | 1117 Devonshire Ave, Attn: Carol Wood, Gme Office, Hemet Valley Medical Cent, Hemet, CA 92543 | 2016-05-04 |
| 1699177048 | Douglas Trent Jepson | Dentist | 810 Saint John Place, Suite C, Hemet, CA 92543 | 2014-09-17 |
| 1205244837 | Hemet Dental Clinic | Clinic/Center | 940 E Morton Pl, Hemet, CA 92543 | 2014-07-28 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
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| 1467776203 | Valley Pathology Medical Group | Clinical Medical Laboratory | 395 N San Jacinto St, Suite 3c, Hemet, CA 92543-3109 | 2010-03-23 |
| 1770776882 | Laboratory Corporation of America | Clinical Medical Laboratory | 945 Saint John Pl, Hemet, CA 92543-4421 | 2007-08-22 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.