Organization Active NPI

Gamdur S. Brar

Doing business as Valley Pediatrics

  • Primary Care Clinic/Center
  • Madera, CA
National Provider Identifier
1053027227
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
GAMDUR S. BRAR
Doing business as
Valley Pediatrics
Practice address
2339 W Cleveland Ave Ste 101
Madera, CA 93637-8765
Phone
(559) 675-9400
Fax
(559) 675-9404
NPI assigned
Jan 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Authorized official

Name
Susan Casarez
Title
Office Manager
Phone
(559) 675-9400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2339 W Cleveland Ave Ste 101
Madera, CA 93637-8765

Mailing address

2339 W Cleveland Ave Ste 101
Madera, CA 93637-8765
Phone (559) 675-9400

Other identifiers 1

IdentifierTypeStateIssuer
00C510650MedicaidCA

Other names 1

  • Valley Pediatrics Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1069463Valley Pediatrics2339 W Cleveland Ave Ste 101, Madera, CA 93637Certificate of waiverJun 5, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675036800000",
    "number": "1053027227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 W CLEVELAND AVE STE 101",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936378765",
            "telephone_number": "559-675-9400",
            "fax_number": "559-675-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2339 W CLEVELAND AVE STE 101",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936378765",
            "telephone_number": "559-675-9400",
            "fax_number": "559-675-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAMDUR S. BRAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A",
        "authorized_official_last_name": "CASAREZ",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "559-675-9400"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00C510650",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Madera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.