Organization Active NPI

Valley Clinica Medica General Medical Center Inc

  • Family Medicine Physician
  • El Monte, CA
National Provider Identifier
1225681422
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
VALLEY CLINICA MEDICA GENERAL MEDICAL CENTER INC
Doing business as
Valley Clinica Medica General, Medical Center Inc.
Practice address
11026 Valley Mall
El Monte, CA 91731-2617
Phone
(626) 443-9646
NPI assigned
Jul 17, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Authorized official

Name
Mr. Juan Carlos Garcia Bachmann
Title
Office Manager
Phone
(213) 637-2530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

11026 Valley Mall
El Monte, CA 91731-2617

Mailing address

6511 Van Nuys Blvd
Van Nuys, CA 91401-1425
Phone (818) 901-9090

Other names 1

  • Valley Clinica Medica General, Medical Center Inc. Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcarlos@lacmg.com Direct

National Provider Directory

National Provider Directory
Tax ID family
Valley Clinica Medica General Medical Center Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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": "1563321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1225681422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6511 VAN NUYS BLVD",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914011425",
            "telephone_number": "818-901-9090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11026 VALLEY MALL",
            "city": "EL MONTE",
            "state": "CA",
            "postal_code": "917312617",
            "telephone_number": "626-443-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CLINICA MEDICA GENERAL MEDICAL CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-17",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "GARCIA BACHMANN",
        "authorized_official_first_name": "JUAN CARLOS",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "213-637-2530",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcarlos@lacmg.com",
            "affiliation": "N",
            "endpointDescription": "lacmg.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6511 Van Nuys Blvd",
            "city": "Van Nuys",
            "state": "CA",
            "country_code": "US",
            "postal_code": "914011425",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Valley Clinica Medica General, Medical Center Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in El Monte, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; 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.