Active NPI
Gamdur S. Brar
Doing business as Valley Pediatrics
- Primary Care Clinic/Center
- Madera, CA
National Provider Identifier
1053027227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C510650 | Medicaid | CA |
Other names 1
- Valley Pediatrics
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 |
|---|---|---|---|
| 05D1069463 | Valley Pediatrics | Certificate of waiver | Jun 5, 2027 |
National Provider Directory
National Provider DirectoryNPI 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.