Valley Heart Physicians Medical Group, Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

A65342 Issued in CA

Legal business name

VALLEY HEART PHYSICIANS MEDICAL GROUP, INC

Practice address

58457 29 Palms Hwy
Ste 200
Yucca Valley, CA 92284-5879

Phone

(760) 228-1813

Fax

(760) 369-7331

NPI assigned

May 27, 2005

Last updated

Mar 11, 2008By 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

Cindy Garcia

Title

Office Manager

Phone

(760) 325-1202

Specialties & licenses 6

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1427051903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58457 29 PALMS HWY",
            "address_2": "STE 200",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922845879",
            "telephone_number": "760-228-1813",
            "fax_number": "760-369-7331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58457 29 PALMS HWY",
            "address_2": "STE 200",
            "city": "YUCCA VALLEY",
            "state": "CA",
            "postal_code": "922845879",
            "telephone_number": "760-228-1813",
            "fax_number": "760-369-7331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HEART PHYSICIANS MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-05-27",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "GARCIA",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-325-1202"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "NP10511",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A63233",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A65342",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A38511",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "A38511",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A38511",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "ZZZ52542Z",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0071780",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candice Himelda Valencia, B.A
• Joshua A. Valentin
• Vanessa Gabriela Valle
• Jennifer Vallely, MA ED., MS
• Valley Heart Physician Medical Group, Inc. (Valley Heart Center Medical Group Cardiac Rehab)
• Valley Star Behavioral Health, Inc.
• Valley Star Behavioral Health, Inc.
• Valley Star Behavioral Health, Inc.
• Danielle R. Vanover
• Cendy Varela

• Internal Medicine Physician in Yucca Valley, CA
• Providers in Yucca Valley, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.