Organization Active NPI

Valiant Medical Group a Professional Medical Corp

Doing business as Valiant Medical Group

  • Family Medicine Physician
  • Rancho Cucamonga, CA
National Provider Identifier
1063553600
Registry record updated Dec 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A7546 Issued in CA
Legal business name
VALIANT MEDICAL GROUP A PROFESSIONAL MEDICAL CORP
Practice address
8239 Rochester Ave Ste 120
Rancho Cucamonga, CA 91730-0715
Phone
(909) 941-0266
Fax
(909) 941-0569
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2024

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

Authorized official

Name
Joey Marie Sabbagh
Title
Office Manager
Phone
(909) 664-3734

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 20A7546 CA Primary

Addresses

Primary practice location

8239 Rochester Ave Ste 120
Rancho Cucamonga, CA 91730-0715

Mailing address

8239 Rochester Ave Ste 120
Rancho Cucamonga, CA 91730-0715
Phone (909) 941-0266

Other names 1

  • VALIANT MEDICAL GROUP Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040311001346 CA Part B Supplier - Clinic/Group Practice 5496644056 Receives reassigned benefits from 1 practitioner
Practice locations: Rancho Cucamonga, CA

National Provider Directory

National Provider Directory

Locations

8239 Rochester Ave
Ste 120
Rancho Cucamonga, CA 91730
Phone (909) 941-0266

7777 Milliken Ave
Ste 150
Rch Cucamonga, CA 91730
Phone (909) 466-6310

Practitioners & affiliated clinicians

Practitioners 1

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": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734307200000",
    "number": "1063553600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8239 ROCHESTER AVE STE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300715",
            "telephone_number": "909-941-0266",
            "fax_number": "909-941-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8239 ROCHESTER AVE STE 120",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917300715",
            "telephone_number": "909-941-0266",
            "fax_number": "909-941-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALIANT MEDICAL GROUP A PROFESSIONAL MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2024-12-16",
        "certification_date": "2024-12-16",
        "status": "A",
        "authorized_official_last_name": "SABBAGH",
        "authorized_official_first_name": "JOEY",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "909-664-3734"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A7546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALIANT MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VALIANT MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "VALIANT MEDICAL GROUP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rancho Cucamonga, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2024; 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.

Verify at the official NPI Registry.