Valley Center for Pain Medicine and Regional Anesthesia Corp

Primary specialty

Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X

License

A103786 Issued in CA

Legal business name

VALLEY CENTER FOR PAIN MEDICINE AND REGIONAL ANESTHESIA CORP

Practice address

3321 M St
Merced, CA 95348

Phone

(209) 381-0127

Fax

(209) 381-0130

NPI assigned

Apr 27, 2012

Last updated

Jan 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Hai T Duong, MDNPI 1760646152

Title

President

Phone

(209) 761-6358

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hai T Duong

  • Pain Medicine (Anesthesiology) Physician
  • Davis, CA
  • NPI 1760646152
  Medicare reassignment NPD Authorized official
• John Estamo Abordo, DPM

  • Foot & Ankle Surgery Podiatrist
  • Merced, CA
  • NPI 1982627675
  Medicare reassignment

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

{
    "created_epoch": "1335484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1547769600000",
    "number": "1407114465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2123",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953440123",
            "telephone_number": "209-381-0127",
            "fax_number": "209-381-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3321 M ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "95348",
            "telephone_number": "209-381-0127",
            "fax_number": "209-381-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CENTER FOR PAIN MEDICINE AND REGIONAL ANESTHESIA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-27",
        "last_updated": "2019-01-18",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "HAI",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-761-6358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A103786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Genevieve Gabrielle Valentine
• Corinne Valenzuela, RN
• Jess Reyes Valenzuela, LPT
• Karen Michelle Valenzuela
• Mariella Valladares, MHRS
• Valley Harvest Church of Merced (Center for HOPe & Restoration (Trauma/Recovery Center))
• Valley Onward
• Valley Performance Physical Therapy, Inc. (Valley Performance Physical Therapy)
• Valley Prescription and Compounding Pharmacy
• Valley Prescription and Compounding Pharmacy

• Pain Medicine (Anesthesiology) Physician in Merced, CA
• Providers in Merced, CA by specialty
• Pain Medicine (Anesthesiology) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.