Active NPI
Valley Pathology Medical Group
- Anatomic Pathology & Clinical Pathology Physician
- Hemet, CA
National Provider Identifier
1275546129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- Legal business name
- VALLEY PATHOLOGY MEDICAL GROUP
- Practice address
- 1117 E Devonshire Ave
Hemet, CA 92543-3083 - Phone
- (951) 925-6383
- Fax
- (951) 765-4829
- NPI assigned
- Aug 14, 2006
- 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
- Alan Mare, M.D.
- Title
- Pathologist
- Phone
- (951) 925-6383
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | CA | Primary |
Addresses
Primary practice location
1117 E Devonshire Ave
Hemet, CA 92543-3083
Mailing address
1117 E Devonshire Ave
Hemet, CA 92543-3083
Phone (951) 925-6383
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0071512 | Medicaid | CA | |
| GR0071510 | Medicaid | CA | |
| GR0071511 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
395 N San Jacinto St
#3C
Hemet, CA 92543
Phone (714) 774-7470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249862400000",
"number": "1275546129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1117 E DEVONSHIRE AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925433083",
"telephone_number": "951-925-6383",
"fax_number": "951-765-4829"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1117 E DEVONSHIRE AVE",
"city": "HEMET",
"state": "CA",
"postal_code": "925433083",
"telephone_number": "951-925-6383",
"fax_number": "951-765-4829"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY PATHOLOGY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-14",
"last_updated": "2009-08-10",
"status": "A",
"authorized_official_last_name": "MARE",
"authorized_official_first_name": "ALAN",
"authorized_official_title_or_position": "PATHOLOGIST",
"authorized_official_telephone_number": "951-925-6383",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0071512",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0071510",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0071511",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hemet, CA
- Diana Valdez, OTR/L
- Steven Valenzuela, CRNA
- Catalina Valera
- Valley OB/GYN Medical Group,Inc.
- Valley Pathology Medical Group
- Valley Pathology Medical Group
- Valley Restart Shelter
- Valleywide Hearing Aid Center Inc.
- Valor Healthcare Solutions and Adult Residential Care
- Gary Peter-James Van Lue Gonzalez, D.C., M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.