Addiction Medical Group, P.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

G79406 Issued in CA

Legal business name

ADDICTION MEDICAL GROUP, P.C.

Practice address

1001 N State St
Hemet, CA 92543-1474

Phone

(951) 652-0330

NPI assigned

Jul 14, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Michael Shawn Valdez, MD

Title

President/Owner/Medical Director

Phone

(951) 652-0330

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1468454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468540800000",
    "number": "1366895302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N STATE ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925431474",
            "telephone_number": "951-652-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N STATE ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925431474",
            "telephone_number": "951-652-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADDICTION MEDICAL GROUP, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-14",
        "last_updated": "2016-07-15",
        "status": "A",
        "authorized_official_last_name": "VALDEZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "SHAWN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "951-652-0330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "CA",
            "license": "G79406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adedayo K Adebisi, NP
• Tolulope Titilayo Adedayo, NP
• Mogbonjubola A Adeyemo, M.D.
• Oluwafemi A Adeyemo, M.D.
• Juhishree Adhikari, MD

• All providers in Hemet, CA
• Community/Behavioral Health Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2016; 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.