Organization Active NPI

North Valley Specialty Group Inc.

  • Specialist
  • Rancho Cordova, CA
National Provider Identifier
1174492821
Registry record updated Feb 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
NORTH VALLEY SPECIALTY GROUP INC.
Practice address
10860 Gold Center Dr Ste 255
Rancho Cordova, CA 95670-6068
Phone
(530) 649-7945
Fax
(530) 387-0071
NPI assigned
Oct 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2026

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

Authorized official

Name
Jillian Aguilar
Title
Director of Operations
Phone
(916) 717-6344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

10860 Gold Center Dr Ste 255
Rancho Cordova, CA 95670-6068

Mailing address

10860 Gold Center Dr Ste 255
Rancho Cordova, CA 95670-6068
Phone (833) 451-5565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260514001759 CA Part B Supplier - Clinic/Group Practice 6901375450 Receives reassigned benefits from 5 practitioners
Practice locations: Rancho Cordova, CA

National Provider Directory

National Provider Directory

Locations

5909 Stanley Ave
Ste A
Carmichael, CA 95608
Phone (530) 649-7945

10860 Gold Center Dr
Ste 255
Rancho Cordova, CA 95670
Phone (530) 649-7945

Practitioners & affiliated clinicians

Practitioners 9

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": "1761868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771891200000",
    "number": "1174492821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10860 GOLD CENTER DR STE 255",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706068",
            "telephone_number": "833-451-5565",
            "fax_number": "888-398-8544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10860 GOLD CENTER DR STE 255",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956706068",
            "telephone_number": "530-649-7945",
            "fax_number": "530-387-0071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH VALLEY SPECIALTY GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-31",
        "last_updated": "2026-02-24",
        "certification_date": "2026-02-24",
        "status": "A",
        "authorized_official_last_name": "AGUILAR",
        "authorized_official_first_name": "JILLIAN",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "916-717-6344"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Cordova, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; 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.