Active NPI
Ukiah Obstetrics and Gynecology
- Obstetrics & Gynecology Physician
- Ukiah, CA
National Provider Identifier
1356495386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- UKIAH OBSTETRICS AND GYNECOLOGY
- Practice address
- 1101 South Dora St
Ukiah, CA 95482 - Phone
- (707) 462-2945
- Fax
- (707) 462-0474
- NPI assigned
- Jan 23, 2007
- Last updated
- Aug 22, 2020
- 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
- Mr. Vincent Paul Valente
- Title
- Head Physician
- Phone
- (707) 462-2945
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | NU | Primary |
Addresses
Primary practice location
1101 South Dora St
Ukiah, CA 95482
Mailing address
1101 South Dora St
Ukiah, CA 95482
Phone (707) 462-2945
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G288730 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1356495386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 SOUTH DORA ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "95482",
"telephone_number": "707-462-2945",
"fax_number": "707-462-0474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 SOUTH DORA ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "95482",
"telephone_number": "707-462-2945",
"fax_number": "707-462-0474"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UKIAH OBSTETRICS AND GYNECOLOGY",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-23",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "VALENTE",
"authorized_official_first_name": "VINCENT",
"authorized_official_middle_name": "PAUL",
"authorized_official_title_or_position": "HEAD PHYSICIAN",
"authorized_official_telephone_number": "707-462-2945",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G288730",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ukiah, CA
- Ukiah Adventist Hospital (Adventist Health Ukiah Valley)
- Ukiah Adventist Hospital (Adventist Health Ukiah Valley)
- Ukiah Adventist Hospital (Adventist Health Ukiah Valley)
- Ukiah Adventist Hosptial (Adventist Health Ukiah Valley)
- Ukiah Adventist Hosptial (Adventist Health Ukiah Valley)
- Ukiah Senior Center
- Ukiah Senior Center Inc.
- Ukiah Surgery Center LP
- Ukiah Valley Anesthesia Services
- Ukiah Valley Primary Care Medical Group, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.