Active NPI
Valley Hyperbaric Center, Inc.
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Manteca, CA
National Provider Identifier
1114596087
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
- 520 E Center St
Manteca, CA 95336-4720 - Phone
- (209) 823-2131
- NPI assigned
- Jun 23, 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 Ahmed, MD
- Title
- Owner / MD
- 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
520 E Center St
Manteca, CA 95336-4720
Mailing address
520 E Center St
Manteca, CA 95336-4720
Phone (209) 823-2131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 138466 | Other | CA LICENSE |
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
- Roseville, CA
- NPI 1033787239
Locations
520 E Center St
Manteca, CA 95336
Phone (209) 665-7054
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pulmonary Disease Physician
- Manteca, CA
- NPI 1265513121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1624406400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1624406400000",
"number": "1114596087",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 E CENTER ST",
"city": "MANTECA",
"state": "CA",
"postal_code": "953364720",
"telephone_number": "209-823-2131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 E CENTER ST",
"city": "MANTECA",
"state": "CA",
"postal_code": "953364720",
"telephone_number": "209-823-2131"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY HYPERBARIC CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-23",
"last_updated": "2021-06-23",
"certification_date": "2021-06-04",
"status": "A",
"authorized_official_last_name": "AHMED",
"authorized_official_first_name": "SIRAJ",
"authorized_official_title_or_position": "OWNER / MD",
"authorized_official_telephone_number": "209-823-2131",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2083P0011X",
"taxonomy_group": "193400000X SINGLE 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": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Manteca, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.