CLINICA MEDICA DEL VALLE, INC. (NPI# 1790921641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790921641 |
| Entity Type | Organization |
| Organization Name | CLINICA MEDICA DEL VALLE, INC. |
| Practice Address |
52-565 Harrison Street Suite 104 Coachella CA 92236-1534 |
| Practice Telephone | 7603980606 |
| Practice Fax Number | 7603985507 |
| Mailing Telephone | 7603980606 |
| Mailing Fax Number | 7603985507 |
| Enumeration Date | 2008-12-24 |
| Last Update Date | 2008-12-24 |
| Authorized Official Name | DR. JUAN M ACOSTA (PRESIDENT) |
| Authorized Official Telephone | 7603980606 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2086S0120X |
Surgery Specialization: Pediatric Surgery |
A66595 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
52-565 HARRISON STREET SUITE 104 |
| City | COACHELLA |
| State | CA |
| Zip Code | 92236-1534 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710518915 | Phong Phan | Pharmacist | 84 010 Avenue 50, Coachella, CA 92236 | 2020-01-28 |
| 1518511500 | Sally Mireles | Counselor | 84109 La Jolla, Coachella, CA 92236 | 2019-07-29 |
| 1174185318 | Laura Castillo-dominguez | Licensed Vocational Nurse | 83113 Los Cabos Ave, Coachella, CA 92236 | 2019-07-08 |
| 1003390519 | Jennifer Le | Registered Nurse | 49-111 Ca-111 #6a, Coachella, CA 92236 | 2018-09-20 |
| 1700302502 | Latino Commission On Alcohol and Drug Abuse Services | Marriage & Family Therapist | 1612 First St., Coachella, CA 92236 | 2017-08-14 |
| 1467993279 | Jose Ramon Ledezma | Prosthetic/Orthotic Supplier | 84475 Goya Dr, Coachella, CA 92236 | 2017-03-13 |
| 1144622432 | Telecare Corporation | Psychiatric Unit | 49-708 Redondo Poniente, Coachella, CA 92236 | 2014-09-18 |
| 1851708762 | Juanita Ferro | Psychiatric Unit | 52371 Dos Palmas, Coachella, CA 92236 | 2014-07-14 |
| 1932519964 | Gloria Graham | Family Medicine | 50249 Harrison St, Coachella, CA 92236 | 2014-04-29 |
| 1326489121 | Alma Elizabeth Guadarrama Hernandez | Social Worker | 49211 Grapefruit Blvd Ste 5&6, Coachella, CA 92236 | 2013-07-10 |
| Find all providers in zip 92236 | ||||
| Taxonomy Code | 2086S0120X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Pediatric Surgery |
| A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467423772 | Juan M. Acosta | Surgery | 52565 Harrison St Ste 104, Coachella, CA 92236 | 2006-01-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629560149 | Norcal Pediatric Surgical Partners | Surgery | 21c Orinda Way # 276, Orinda, CA 94563-2534 | 2018-05-31 |
| 1598137291 | Pasadena Pediatric Surgery, Inc. | Surgery | 625 S Fair Oaks Ave Ste 286, Pasadena, CA 91105-2613 | 2015-10-21 |
| 1205121704 | Bindi Naik-mathuria | Surgery | 7512 Hampton Ave, West Hollywood, CA 90046-5503 | 2011-06-13 |
| 1295053437 | Ashley Walther | Surgery | 4650 W Sunset Blvd # Ms 100, Los Angeles, CA 90027 | 2010-05-12 |
| 1881918407 | R V Daluvoy Md Inc | Surgery | 908 East Main St, Barstow, CA 92311-2406 | 2010-03-25 |
| 1215162607 | James Pierce | Surgery | 9300 Valley Childrens Pl # Ge01, Madera, CA 93636-8761 | 2009-05-28 |
| 1225298870 | Payam Saadai | Surgery | 2221 Stockton Blvd, 3rd Floor, Uc Davis Medical Center, Sacramento, CA 95817-1418 | 2008-06-16 |
| 1396916524 | Erin Brown | Surgery | 2425 Stockton Blvd Shriners Hospital for Children, Sacramento, CA 95817-2215 | 2008-03-15 |
| 1124203872 | Children's Hospital Los Angeles Medical Group | Surgery | 4650 W Sunset Blvd # 72, Los Angeles, CA 90027-6062 | 2007-12-31 |
| 1699981688 | Bruce Arthur Hanson | Surgery | 915 Wigeon Way, Arroyo Grande, CA 93420-5555 | 2007-05-15 |
| Find all providers with the same taxonomy | ||||
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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.