VALENZUELA MEDICAL GROUP I, INC. (NPI# 1952485641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952485641 |
Entity Type | Organization |
Organization Name | VALENZUELA MEDICAL GROUP I, INC. |
Other Organization Name | MY FAMILY & ME PRIMARY CARE - SUNNYMEAD |
Practice Address |
24226 Sunnymead Blvd Moreno Valley CA 92553-7739 |
Mailing Address |
595 N Arrowhead Ave San Bernardino CA 92401-1201 |
Practice Telephone | 9516016802 |
Practice Fax Number | 9516019263 |
Mailing Telephone | 9098898680 |
Mailing Fax Number | 9098885830 |
Enumeration Date | 2006-10-25 |
Last Update Date | 2014-09-05 |
Authorized Official Name | DR. GUILLERMO J. VALENZUELA (PRESIDENT) |
Authorized Official Telephone | 9095803470 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians | ||
N | 207V00000X | Obstetrics & Gynecology | Allopathic & Osteopathic Physicians | ||
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
Other Name | Type Code |
---|---|
My Family & Me Primary Care - Sunnymead | Doing Business As Name - Organization |
Street Address |
24226 SUNNYMEAD BLVD |
City | MORENO VALLEY |
State | CA |
Zip Code | 92553-7739 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245871151 | Sara Daiber-salhi | Nurse Practitioner | 24226 Sunnymead Blvd, Moreno Valley, CA 92553-7739 | 2019-10-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104441559 | Tanya Gentle | Marriage & Family Therapist | 2319 Cottonwood Avenue, Building A Suite 110, Moreno Valley, CA 92553 | 2020-06-11 |
1275194227 | Antonio Pearce | Psychologist | 12968 Frederick Street, Suite D, Moreno Valley, CA 92553 | 2019-06-20 |
1346726486 | Elias Y. Rached | Chiropractor | 23846 Sunnymead Blvd Ste 4, Moreno Valley, CA 92553 | 2018-07-12 |
1952813420 | Shanaya Frederick | Driver | 14929 Spinnaker Lane, Moreno Valley, CA 92553 | 2017-10-24 |
1457879413 | R & C Logistic Services, LLC | Private Vehicle | 14768 Briana St, Moreno Valley, CA 92553 | 2017-08-30 |
1720505084 | Elda Pricila Hernandez | Behavioral Analyst | 24596 Atwood Ave.apt1, Moreno Valley, CA 92553 | 2017-08-28 |
1174044101 | Ps Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 24594 Sunnymead Blvd, Suite M, Moreno Valley, CA 92553 | 2017-06-29 |
1942736327 | Richard Pantoja Reyna | Licensed Vocational Nurse | 23119 Cottonwood Ave Bld A Suite 110, Moreno Valley, CA 92553 | 2017-05-04 |
1255872719 | Sibonisiwe Moyo Johnson | Nurse Practitioner | 22555 Alessandro Blvd Ste B, Moreno Valley, CA 92553 | 2017-03-16 |
1518311190 | Ryan Macavinta | Nurse Practitioner | 22765 Alessandro Blvd., Moreno Valley, CA 92553 | 2016-04-20 |
Find all providers in zip 92553 |
Taxonomy Code | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942513734 | Darren R Thompson | General Practice | 9818 Camino Del Coronado, Moreno Valley, CA 92557-3549 | 2010-07-21 |
1760468839 | Jonathan Greer | General Practice | 9921 Michael Way, Moreno Valley, CA 92557 | 2005-12-20 |
1821532508 | Centro Medico Del Carmen | General Practice | 13373 Perris Blvd, Suite C202a, Moreno Valley, CA 92553-5441 | 2016-12-14 |
1659726206 | Kaishauna Guidry | General Practice | 12364 Perris Blvd, Moreno Valley, CA 92557-7423 | 2016-05-02 |
1063837631 | Victoria Belle Yea Ri Shin | General Practice | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2014-02-19 |
1225391873 | Nicolas Saenz | General Practice | 26520 Cactus Ave, Moreno Valley, CA 92555-3927 | 2012-06-19 |
1053530147 | Hugues Tran | General Practice | 23900 Ironwood Ave, Moreno Valley, CA 92557-7151 | 2007-04-25 |
1164547055 | Maria Bella Yabut Ramirez | General Practice | 16420 Perris Blvd Ste Q, Moreno Valley, CA 92551-1136 | 2007-03-20 |
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1851999627 | Golden State Medical Center PC | General Practice | 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 | 2020-10-14 |
1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
1316553530 | Kimberly Ann Callaway | General Practice | 4893 Drakewood Ter, San Diego, CA 92130-1406 | 2020-09-22 |
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1922611896 | Daniel Lynn Johnson | General Practice | 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 | 2020-08-28 |
1235755299 | Hofmeister Medical, PC | General Practice | 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 | 2020-06-24 |
1033733779 | South Bay Regenerative Medical Spa Inc | General Practice | 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 | 2020-05-28 |
1568085041 | Integrated Advanced Medicine Inc | General Practice | 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 | 2020-05-19 |
Find all providers with the same taxonomy |
City | MORENO VALLEY |
Zip Code | 92553 |
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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.