NPIMap

Organization Active NPI

CML del Valle Medical Group

Doing business as Centro Medico del Valle Medical Group

  • Primary Care Clinic/Center
  • Escondido, CA
National Provider Identifier
1407887375
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
C42220 Issued in CA
Legal business name
CML DEL VALLE MEDICAL GROUP
Doing business as
Centro Medico del Valle Medical Group
Practice address
1151 E Washington Ave
Ste C
Escondido, CA 92025-2254
Phone
(760) 871-0606
Fax
(760) 871-3534
NPI assigned
Jul 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Alfredo Ratniewski, M.D.NPI 1689768459
Title
Medical Director
Phone
(760) 871-0606

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X C42220 CA Primary

Addresses

Primary practice location

1151 E Washington Ave
Ste C
Escondido, CA 92025-2254

Mailing address

1151 E Washington Ave
Ste C
Escondido, CA 92025-2254
Phone (760) 871-0606

Other names 1

  • CENTRO MEDICO DEL VALLE MEDICAL GROUP Doing business as

National Provider Directory

National Provider Directory

Locations

345 N Magnolia Ave
El Cajon, CA 92020
Phone (619) 404-0404

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407887375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1151 E WASHINGTON AVE",
            "address_2": "STE C",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252254",
            "telephone_number": "760-871-0606",
            "fax_number": "760-871-3534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1151 E WASHINGTON AVE",
            "address_2": "STE C",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252254",
            "telephone_number": "760-871-0606",
            "fax_number": "760-871-3534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CML DEL VALLE MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RATNIEWSKI",
        "authorized_official_first_name": "ALFREDO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "760-871-0606",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "C42220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRO MEDICO DEL VALLE MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Escondido, CA

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.

Verify at the official NPI Registry.