Valley Medical Group of Kern County Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VALLEY MEDICAL GROUP OF KERN COUNTY INC

Doing business as

Aviation Medical

Practice address

177 Aviation St
Shafter, CA 93263-4033

Phone

(661) 391-4530

Fax

(661) 391-4536

NPI assigned

Mar 29, 2011

Last updated

Mar 29, 2011By the provider in NPPES

Organization subpart

Yes

Parent organization

VALLEY MEDICAL GROUP OF KERN COUNTY INCAs reported in NPPES

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

Authorized official

Name

Mr. Noel S Cabezzas

Title

President/Coo

Phone

(661) 496-9300

Specialties & licenses 1

Addresses

Other names 1

• AVIATION MEDICAL Doing business as

Part of

Aviation Medical Group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1346539483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "SHAFTER",
            "state": "CA",
            "postal_code": "932630640",
            "telephone_number": "661-391-4530",
            "fax_number": "661-391-4536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 AVIATION ST",
            "city": "SHAFTER",
            "state": "CA",
            "postal_code": "932634033",
            "telephone_number": "661-391-4530",
            "fax_number": "661-391-4536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MEDICAL GROUP OF KERN COUNTY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VALLEY MEDICAL GROUP OF KERN COUNTY INC",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "CABEZZAS",
        "authorized_official_first_name": "NOEL",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT/COO",
        "authorized_official_telephone_number": "661-496-9300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVIATION MEDICAL",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Shafter, CA
• Providers in Shafter, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.