Valley Gastoenterology Consultants

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

VALLEY GASTOENTEROLOGY CONSULTANTS

Practice address

415 W Carroll Ave
Suite 201
Glendora, CA 91741-4208

Phone

(626) 963-2490

Fax

(626) 963-2495

NPI assigned

Jan 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Samuel Mourani, M.D.

Title

President

Phone

(626) 359-3330

Specialties & licenses 1

Addresses

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303689600000",
    "number": "1013061167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 E SANTA CLARA ST",
            "address_2": "SUITE 103",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067231",
            "telephone_number": "626-359-3330",
            "fax_number": "626-359-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W CARROLL AVE",
            "address_2": "SUITE 201",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917414208",
            "telephone_number": "626-963-2490",
            "fax_number": "626-963-2495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY GASTOENTEROLOGY CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2011-04-25",
        "status": "A",
        "authorized_official_last_name": "MOURANI",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-359-3330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Ruby Valdez, A.C.S.W.
• Kristina Valencia, RN
• Irene Denise Valenzuela, NP
• Janeil Marie Valenzuela, RN
• Daniela Vallette
• Michele T Vargas, DO
• Jorge Vasquez
• Vav Home Health Inc
• Bharathi S Vayuvegula, MD
• Evelyn Vazquez

• Gastroenterology Physician in Glendora, CA
• Providers in Glendora, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.