Valleytech, Inc.

Primary specialty

Parenteral & Enteral Nutrition Supplies (DME)Taxonomy code 332BP3500X

License

DME02917F Issued in CA

Legal business name

VALLEYTECH, INC.

Doing business as

Valleytech Medical

Practice address

4873 West LN
Stockton, CA 95210-4548

Phone

(209) 472-1136

Fax

(209) 472-1138

NPI assigned

Aug 11, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Ukpong Uweh, BS

Title

President

Phone

(209) 472-1136

Specialties & licenses 1

Addresses

Other names 1

• Valleytech Medical Doing business as

Locations

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206921600000",
    "number": "1417959313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77843",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952671143",
            "telephone_number": "209-472-1136",
            "fax_number": "209-472-1138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4873 WEST LN",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952104548",
            "telephone_number": "209-472-1136",
            "fax_number": "209-472-1138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEYTECH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-11",
        "last_updated": "2008-03-31",
        "status": "A",
        "authorized_official_last_name": "UWEH",
        "authorized_official_first_name": "UKPONG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-472-1136",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "332BP3500X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition",
            "state": "CA",
            "license": "DME02917F",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valleytech Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Alahni Jadlynn Valtierra
• Kevin Valtierra, RESPIRATORY TECH
• D'Andre Valverde
• Tamesha Patrice Valverde, IBCLC

• Parenteral & Enteral Nutrition Supplies (DME) in Stockton, CA
• Providers in Stockton, CA by specialty
• Parenteral & Enteral Nutrition Supplies (DME) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.