VALLEY PATHOLOGY MEDICAL GROUP (NPI# 1275546129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275546129 |
| Entity Type | Organization |
| Organization Name | VALLEY PATHOLOGY MEDICAL GROUP |
| Practice Address |
1117 E Devonshire Ave Hemet CA 92543-3083 |
| Practice Telephone | 9519256383 |
| Practice Fax Number | 9517654829 |
| Mailing Telephone | 9519256383 |
| Mailing Fax Number | 9517654829 |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2009-08-10 |
| Authorized Official Name | ALAN MARE (PATHOLOGIST) |
| Authorized Official Telephone | 9519256383 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | GR0071510 | 05 | |
| CA | GR0071511 | 05 | |
| CA | GR0071512 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023314507 | Valley Pathology Medical Group | Clinical Medical Laboratory | 1117 E Devonshire Ave, Hemet, CA 92543-3083 | 2011-02-01 |
| 1467776203 | Valley Pathology Medical Group | Clinical Medical Laboratory | 395 N San Jacinto St, Suite 3c, Hemet, CA 92543-3109 | 2010-03-23 |
| 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 |
| Find all providers in zip 92543 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932296340 | Mustafa Mahdavy | Pathology | 1117 E. Devonshire Ave. Department of Pathology, Hemet, CA 92543 | 2006-10-06 |
| 1346253283 | Steven Westbrook | Pathology | 1117 E Devonshire Ave, Hemet, CA 92543-3083 | 2006-08-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063058170 | Paragon Diagnostics San Francisco | Pathology | 900 Hyde St Fl 1, San Francisco, CA 94109-4806 | 2019-11-24 |
| 1669034518 | Diagnostic Pathology Medical Group Inc | Pathology | 2801 K St Ste 235, Sacramento, CA 95816-5170 | 2019-07-01 |
| 1093277956 | Shajia Rahman Ansari | Pathology | 38558 Vancouver Cmn, Fremont, CA 94536-4056 | 2019-04-01 |
| 1831655158 | Rana Richeh | Pathology | 12 Spectrum Pointe Dr, Lake Forest, CA 92630-2242 | 2019-02-11 |
| 1710457510 | University of California Sfgh Medical Group | Pathology | 1001 Potrero Ave Rm 2m14, San Francisco, CA 94110-3518 | 2018-12-05 |
| 1770053233 | Samuel Jason Guzman | Pathology | 10026 Karmont Ave, South Gate, CA 90280-5417 | 2018-11-27 |
| 1144799750 | Penguin Medical Group, Inc | Pathology | 11 W Del Mar Blvd Ste 201, Pasadena, CA 91105-2593 | 2018-11-13 |
| 1023596731 | Uc San Diego, Pathology Dept | Pathology | East Campus Office Building, Medical Center Dr, San Diego, CA 92037 | 2018-08-03 |
| 1972080752 | Boris Shlopov Md Pathology Medical Corporation | Pathology | 800 S Main, Corona, CA 92882 | 2018-07-24 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
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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.