Valley Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

VALLEY SURGERY CENTER

Practice address

1640 W Yosemite Ave Ste 2
Manteca, CA 95337-5192

Phone

(510) 647-5101

Fax

(510) 647-5105

NPI assigned

Oct 19, 2022

Last updated

Oct 19, 2022By the provider in NPPES

Organization subpart

Yes

Parent organization

PAIN AND REHABILIATION CONSULTANTSAs reported in NPPES

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

Authorized official

Name

Nina Kintanar

Title

Chief Administrative Officer

Phone

(510) 647-5101

Specialties & licenses 2

Addresses

Part of

Pain and Rehab Cnsltnts

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

{
    "created_epoch": "1666137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666137600000",
    "number": "1013633163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1335 STANFORD AVE",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082536",
            "telephone_number": "510-647-5101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 W YOSEMITE AVE STE 2",
            "city": "MANTECA",
            "state": "CA",
            "postal_code": "953375192",
            "telephone_number": "510-647-5101",
            "fax_number": "510-647-5105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY SURGERY CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PAIN AND REHABILIATION CONSULTANTS",
        "enumeration_date": "2022-10-19",
        "last_updated": "2022-10-19",
        "certification_date": "2022-03-17",
        "status": "A",
        "authorized_official_last_name": "KINTANAR",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "510-647-5101"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Community Counseling
• Valley Community Counseling Services, Inc
• Valley Community Counseling Services, Inc
• Valley Hyperbaric Center
• Valley Hyperbaric Center, Inc.
• Cynthia M Vanata, DO
• Christopher Vanderbeek, DDS
• Adrianus Mathias Vanderwerff, PTA
• Down Vang
• Lillyanne Vang

• Ambulatory Surgical Clinic/Center in Manteca, CA
• Providers in Manteca, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2022; 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.