Active NPI
Valley West Medical Center, S.C.
- Family Medicine Physician
- Plano, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- VALLEY WEST MEDICAL CENTER, S.C.
- Practice address
- 1200 W South St
Plano, IL 60545-1790 - Phone
- (630) 552-7601
- Fax
- (630) 552-9215
- NPI assigned
- Dec 26, 2007
- Last updated
- May 15, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Jose G. Trevino Sr., M.D.
- Title
- President
- Phone
- (630) 552-7601
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Surgery Physician | 208600000X |
Addresses
Primary practice location
1200 W South St
Plano, IL 60545-1790
Mailing address
1200 W South St
Plano, IL 60545-1790
Phone (630) 552-7601
Other practice location 1
403 W Galena Blvd Ste 203
Aurora, IL 60506-3988
Phone (630) 897-0091
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4722870 | Other | IL | BLUE CROSS/BLUE SHIELD |
| 036061677 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0421971 | Valley West Medical Center SC | Certificate of waiver | Apr 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
403 W Galena Blvd
Ste 203
Aurora, IL 60506
Phone (630) 552-7601
143 S Lincoln Ave
Ste H
Aurora, IL 60505
Phone (630) 897-0091
1200 W South St
Plano, IL 60545
Phone (630) 301-1769
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Plano, IL
- NPI 1609941319
-
- Adult Health Clinical Nurse Specialist
- Aurora, IL
- NPI 1205173903
-
- Physician Assistant
- Aurora, IL
- NPI 1841866076
-
- Pediatrics Physician
- Plano, IL
- NPI 1659564573
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1198627200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1778803200000",
"number": "1013191097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 W SOUTH ST",
"city": "PLANO",
"state": "IL",
"postal_code": "605451790",
"telephone_number": "630-552-7601",
"fax_number": "630-552-9215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 W SOUTH ST",
"city": "PLANO",
"state": "IL",
"postal_code": "605451790",
"telephone_number": "630-552-7601",
"fax_number": "630-552-9215"
}
],
"practiceLocations": [
{
"address_1": "403 W Galena Blvd Ste 203",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "IL",
"postal_code": "605063988",
"country_code": "US",
"telephone_number": "630-897-0091",
"fax_number": "630-906-9336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VALLEY WEST MEDICAL CENTER, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2007-12-26",
"last_updated": "2026-05-15",
"certification_date": "2026-05-15",
"status": "A",
"authorized_official_last_name": "TREVINO",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "G.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "630-552-7601",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Sr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS/BLUE SHIELD",
"identifier": "4722870",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036061677",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plano, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.