Organization Active NPI

Valley Endocrine & Diabetes Consultans, Inc

  • Specialist
  • Burbank, CA
National Provider Identifier
1154478063
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
VALLEY ENDOCRINE & DIABETES CONSULTANS, INC
Practice address
201 S Buena Vista St
Suite 225
Burbank, CA 91505-4569
Phone
(818) 239-0288
Fax
(818) 239-0889
NPI assigned
Jan 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Minh Q Mach, MDNPI 1831298736
Title
President
Phone
(818) 239-0288

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)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X CA Primary

Addresses

Primary practice location

201 S Buena Vista St
Suite 225
Burbank, CA 91505-4569

Mailing address

201 S Buena Vista St
Suite 225
Burbank, CA 91505-4569
Phone (818) 239-0288

Other names 1

  • Valley Endocrine &Diabetes Consultans, Inc Former legal business name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050126001193 CA Part B Supplier - Clinic/Group Practice 1355391491 Receives reassigned benefits from 1 practitioner
Practice locations: Burbank, CA; Fountain Valley, CA

National Provider Directory

National Provider Directory
Tax ID family
Valley Endocrine and Diabetes Consult2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

4318 W Victory Blvd
Burbank, CA 91505
Phone (323) 606-9032

39251 10th St W
Palmdale, CA 93551
Phone (661) 964-0480

9091 Edinger Ave
Ste C
Westminster, CA 92683
Phone (469) 446-3833

9091 Edinger Ave
Westminster, CA 92683

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": "1167868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1154478063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S BUENA VISTA ST",
            "address_2": "SUITE 225",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054569",
            "telephone_number": "818-239-0288",
            "fax_number": "818-239-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S BUENA VISTA ST",
            "address_2": "SUITE 225",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054569",
            "telephone_number": "818-239-0288",
            "fax_number": "818-239-0889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY ENDOCRINE & DIABETES CONSULTANS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-04",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MACH",
        "authorized_official_first_name": "MINH",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "818-239-0288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Endocrine &Diabetes Consultans, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.

Verify at the official NPI Registry.