Valley Urologic Medical Group Inc

Primary specialty

Urology PhysicianTaxonomy code 208800000X

Legal business name

VALLEY UROLOGIC MEDICAL GROUP INC

Practice address

39000 Bob Hope Dr
Suite P303
Rancho Mirage, CA 92270

Phone

(760) 346-1133

Fax

(760) 346-8857

NPI assigned

Jan 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Marvin Bernard Brooks, MD

Title

President

Phone

(760) 346-1133

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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": "1407900426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "address_2": "SUITE P303",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "760-346-1133",
            "fax_number": "760-346-8857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39000 BOB HOPE DR",
            "address_2": "SUITE P303",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "92270",
            "telephone_number": "760-346-1133",
            "fax_number": "760-346-8857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY UROLOGIC MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "MARVIN",
        "authorized_official_middle_name": "BERNARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-346-1133",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ72030Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Davood Vafai, M.D.
• Timothy Michael Valdez, PA-C
• Alynna Lizlane Valenzuela
• Valerie Valenzuela
• Valley Medplus Home Health Care
• John Derrick Van Doren, MD
• Carole A Van Straten, HAD
• Vijay Kumar Vanam, M.D
• Quinten M Vanderwerf, MEDICAL DORCTOR
• Matthew Varallo, D.O.

• Urology Physician in Rancho Mirage, CA
• Providers in Rancho Mirage, CA by specialty
• Urology Physician in California

• 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.