Active NPI
Valley Hyperbaric Center Inc
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Roseville, CA
National Provider Identifier
1033787239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Legal business name
- VALLEY HYPERBARIC CENTER INC
- Practice address
- 333 Sunrise Ave Ste 890
Roseville, CA 95661-3482 - Phone
- (916) 771-2555
- NPI assigned
- Jun 14, 2021
- 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
- Siraj K Ahmed, MD
- Title
- Owner
- Phone
- (209) 823-2131
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Undersea and Hyperbaric Medicine (Preventive Medicine) Physician | 2083P0011X | Primary |
Addresses
Primary practice location
333 Sunrise Ave Ste 890
Roseville, CA 95661-3482
Mailing address
1112 N Main St
Manteca, CA 95336-3208
Phone (209) 823-2131
Other practice location 1
520 E Center St # 102
Manteca, CA 95336-4720
Phone (209) 823-6909
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138466 | Other | CA | CA LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220624000742 | CA | Part B Supplier - Clinic/Group Practice | 3779962527 |
Receives reassigned benefits from 2 practitioners Practice locations: Manteca, CA; Roseville, CA |
National Provider Directory
National Provider Directory- Tax ID family
- Valley Hyperbaric Center
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Manteca, CA
- NPI 1114596087
Locations
81 E Pinedale Ave
Fresno, CA 93650
520 E Center St
#102
Manteca, CA 95336
Phone (209) 823-6909
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623628800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1649721600000",
"number": "1033787239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1112 N MAIN ST",
"city": "MANTECA",
"state": "CA",
"postal_code": "953363208",
"telephone_number": "209-823-2131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 SUNRISE AVE STE 890",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613482",
"telephone_number": "916-771-2555"
}
],
"practiceLocations": [
{
"address_1": "520 E Center St # 102",
"address_purpose": "LOCATION",
"city": "Manteca",
"state": "CA",
"postal_code": "953364720",
"country_code": "US",
"telephone_number": "209-823-6909",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "VALLEY HYPERBARIC CENTER INC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-14",
"last_updated": "2022-04-12",
"certification_date": "2022-04-12",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "SIRAJ",
"authorized_official_middle_name": "K",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "209-823-2131",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2083P0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Undersea and Hyperbaric Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CA LICENSE",
"identifier": "138466",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.