Organization Active NPI

Paradise Valley Medical Group

  • Urgent Care Clinic/Center
  • National City, CA
National Provider Identifier
1235790072
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
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

Updated by the provider on Jun 24, 2019

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

NPI 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

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.

Verify at the official NPI Registry.