Valley View Family Medical Clinic,Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A41795 Issued in CA

Legal business name

VALLEY VIEW FAMILY MEDICAL CLINIC,INC

Practice address

14400 Roscoe Blvd Ste B
Panorama City, CA 91402-3001

Phone

(818) 830-6888

Fax

(818) 830-6891

NPI assigned

Sep 27, 2007

Organization subpart

No

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

Authorized official

Name

Hermilito Villar, M.D.

Title

Owner

Phone

(818) 830-6888

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486598400000",
    "number": "1194912741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14400 ROSCOE BLVD STE B",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914023001",
            "telephone_number": "818-830-6888",
            "fax_number": "818-830-6891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14400 ROSCOE BLVD STE B",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914023001",
            "telephone_number": "818-830-6888",
            "fax_number": "818-830-6891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY VIEW FAMILY MEDICAL CLINIC,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-27",
        "last_updated": "2017-02-09",
        "status": "A",
        "authorized_official_last_name": "VILLAR",
        "authorized_official_first_name": "HERMILITO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-830-6888",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A41795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0026280",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valley Comfort Care Inc
• Valley Diagnostic Services Inc
• Valley Emergency Medical Associates
• Valley Emergency Medical Associates, Inc.
• Valley Oasis Care Inc
• Valley Villa Senior Living Inc.
• Valley Village
• Van Nuys Family Medical Clinic Inc
• Van Nuys Medical Pharmacy Inc.
• Indubala N. Vardhan, MD

• General Practice Physician in Panorama City, CA
• Providers in Panorama City, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; 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.