Active NPI
Paradise Valley Medical Group
- Urgent Care Clinic/Center
- National City, CA
National Provider Identifier
1235790072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- PARADISE VALLEY MEDICAL GROUP
- Practice address
- 502 Euclid Ave Ste 103
National City, CA 91950-2982 - Phone
- (619) 470-4357
- NPI assigned
- Jun 24, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Maxwell Owens
- Title
- Cfo
- Phone
- (619) 470-4280
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
502 Euclid Ave Ste 103
National City, CA 91950-2982
Mailing address
655 Euclid Ave Ste 408
National City, CA 91950-2980
Phone (619) 470-4280
Other names 1
- Paradise Valley Medical Group
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561334400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1561334400000",
"number": "1235790072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 EUCLID AVE STE 408",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919502980",
"telephone_number": "619-470-4280"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 EUCLID AVE STE 103",
"city": "NATIONAL CITY",
"state": "CA",
"postal_code": "919502982",
"telephone_number": "619-470-4357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PARADISE VALLEY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-24",
"last_updated": "2019-06-24",
"status": "A",
"authorized_official_last_name": "OWENS",
"authorized_official_first_name": "MAXWELL",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "619-470-4280"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Paradise Valley Medical Group",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Paradise Valley Medical Group",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in National City, CA
- Paradise Valley Health Care Center, Inc.
- Paradise Valley Hospital
- Paradise Valley Hospital
- Paradise Valley Hospital
- Paradise Valley Hospital
- Paradise Valley Medical Group, Inc.
- Paradise Valley Medical Group, Inc.
- Paradise Valley Pathology Medical Group
- Ayda Guadalupe Parra-Sendt, CRT
- Partners in Care Health System LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.