NPIMap

Organization Active NPI

Valley Neurology Medical Clinic Inc

  • Specialist
  • Visalia, CA
National Provider Identifier
1376719872
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A56366 Issued in CA
Legal business name
VALLEY NEUROLOGY MEDICAL CLINIC INC
Practice address
1860 S Central St
Suite B
Visalia, CA 93277-4496
Phone
(559) 738-1828
NPI assigned
May 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Dr. Bassam Ibrahim Alzagatiti, MD
Title
Doctor
Phone
(559) 738-1828

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X A56366 CA Primary

Addresses

Primary practice location

1860 S Central St
Suite B
Visalia, CA 93277-4496

Mailing address

1860 S Central Ave Ste B
Visalia, CA 93277-4497
Phone (559) 738-1828

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1376719872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 S CENTRAL AVE STE B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774497",
            "telephone_number": "559-738-1828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 S CENTRAL ST",
            "address_2": "SUITE B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774496",
            "telephone_number": "559-738-1828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY NEUROLOGY MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "ALZAGATITI",
        "authorized_official_first_name": "BASSAM",
        "authorized_official_middle_name": "IBRAHIM",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "559-738-1828",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A56366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.