Organization Active NPI

Valley Endocrine & Diabetes Consultants

  • Clinical Medical Laboratory
  • Burbank, CA
National Provider Identifier
1245436690
Registry record updated Jul 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
O5D1053414 Issued in CA
Legal business name
VALLEY ENDOCRINE & DIABETES CONSULTANTS
Practice address
201 S Buena Vista St
225
Burbank, CA 91505
Phone
(818) 239-0288
Fax
(818) 239-0289
NPI assigned
Jun 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2018

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

Authorized official

Name
Dr. Minh Mach, M.D.NPI 1831298736
Title
Owner
Phone
(818) 239-0288

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X O5D1053414 CA Primary

Addresses

Primary practice location

201 S Buena Vista St
225
Burbank, CA 91505

Mailing address

201 S Buena Vista St
225
Burbank, CA 91505-4569
Phone (818) 239-0288

Other identifiers 1

IdentifierTypeStateIssuer
1831298736MedicaidCA

Other names 2

  • V.E.D.C. LABORATORY Doing business as
  • Valley Endocrine & Diabetes Consultants,Inc Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Valley Endocrine and Diabetes Consult2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1182470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531180800000",
    "number": "1245436690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 S BUENA VISTA ST",
            "address_2": "225",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915054569",
            "telephone_number": "818-239-0288",
            "fax_number": "818-239-0289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S BUENA VISTA ST",
            "address_2": "225",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "91505",
            "telephone_number": "818-239-0288",
            "fax_number": "818-239-0289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY ENDOCRINE & DIABETES CONSULTANTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-22",
        "last_updated": "2018-07-10",
        "status": "A",
        "authorized_official_last_name": "MACH",
        "authorized_official_first_name": "MINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-239-0288",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "O5D1053414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831298736",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "V.E.D.C. LABORATORY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Endocrine & Diabetes Consultants,Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Burbank, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2018; 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.