Valley Kidney Clinic Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

A108120 Issued in CA

Legal business name

VALLEY KIDNEY CLINIC INC

Doing business as

Valley Kidney Clinic Inc

Practice address

1801 E March LN
Suite B265
Stockton, CA 95210-6629

Phone

(209) 546-1868

Fax

(209) 461-6505

NPI assigned

Jul 13, 2009

Last updated

Jun 19, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Mallareddy Maddula, MDNPI 1487762647

Title

MD

Phone

(209) 546-1868

Specialties & licenses 1

Addresses

Other names 1

• Valley Kidney Clinic Inc Doing business as

Locations

Practitioners 2

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.

• Mallareddy Maddula, M.D.

  • Nephrology Physician
  • Stockton, CA
  • NPI 1487762647
  Authorized official Same address or phone
• P B Sagireddy, MD

  • Nephrology Physician
  • Stockton, CA
  • NPI 1407844889
  NPD (past)

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

{
    "created_epoch": "1247443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434672000000",
    "number": "1023247079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LN",
            "address_2": "SUITE B265",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106629",
            "telephone_number": "209-546-1868",
            "fax_number": "209-461-6505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 E MARCH LN",
            "address_2": "SUITE B265",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952106629",
            "telephone_number": "209-546-1868",
            "fax_number": "209-461-6505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY KIDNEY CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-13",
        "last_updated": "2015-06-19",
        "status": "A",
        "authorized_official_last_name": "MADDULA",
        "authorized_official_first_name": "MALLAREDDY",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "209-546-1868",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A108120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Kidney Clinic Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Valley Audiology Professional Corporation (Stockton Hearing & Speech Center)
• Valley Central Transportation Corp.
• Valley Community Counseling Services, Inc
• Valley Community Couseling Services
• Valley Foot & Ankle Institute, a Professional Corporation
• Valley MRI and Radiology Inc
• Valley MRI Center
• Valley Optometric Care (Demshar and Vanover Optometrists)
• Valley Optometry PC
• Valley Perinatal & Genetic Diagnostic Center Medical Group, Inc.

• Specialist in Stockton, CA
• Providers in Stockton, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2015; 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.