Organization Active NPI

Valley Industrial Medical Group

  • Personal Emergency Response Attendant
  • Tulare, CA
National Provider Identifier
1174666168
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
License
G21545 Issued in CA
Legal business name
VALLEY INDUSTRIAL MEDICAL GROUP
Practice address
755 E Terrace Ave
Tulare, CA 93274-2175
Phone
(559) 685-8800
Fax
(559) 685-9366
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. R. Steven Alcocer, PA-C
Title
Clinical Director-Owner
Phone
(559) 685-8800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Emergency Response AttendantGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 146D00000X G21545 CA Primary

Addresses

Primary practice location

755 E Terrace Ave
Tulare, CA 93274-2175

Mailing address

755 E Terrace Ave
Tulare, CA 93274-2175
Phone (559) 685-8800

National Provider Directory

National Provider Directory

Locations

755 E Terrace Ave
Tulare, CA 93274
Phone (559) 685-8800

Practitioners & affiliated clinicians

Practitioners 2

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": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174666168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 E TERRACE AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742175",
            "telephone_number": "559-685-8800",
            "fax_number": "559-685-9366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 E TERRACE AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742175",
            "telephone_number": "559-685-8800",
            "fax_number": "559-685-9366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY INDUSTRIAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ALCOCER",
        "authorized_official_first_name": "R.",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR-OWNER",
        "authorized_official_telephone_number": "559-685-8800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "146D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Personal Emergency Response Attendant",
            "state": "CA",
            "license": "G21545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulare, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.