Organization Active NPI

Valley Pathology Medical Group

  • Clinical Medical Laboratory
  • Hemet, CA
National Provider Identifier
1467776203
Registry record updated Mar 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
05D1106961 Issued in CA
Legal business name
VALLEY PATHOLOGY MEDICAL GROUP
Practice address
395 N San Jacinto St
Suite 3C
Hemet, CA 92543-3109
Phone
(951) 652-2811
NPI assigned
Mar 23, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2010

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

Authorized official

Name
Alan Mare, MD
Title
President
Phone
(951) 925-6318

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 05D1106961 CA Primary

Addresses

Primary practice location

395 N San Jacinto St
Suite 3C
Hemet, CA 92543-3109

Mailing address

PO Box 10076
Van Nuys, CA 91410-0076
Phone (805) 578-8300

National Provider Directory

National Provider Directory

Locations

395 N San Jacinto St
Ste 3C
Hemet, CA 92543
Phone (951) 652-2811

NPI Registry JSON

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

{
    "created_epoch": "1269302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1467776203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10076",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914100076",
            "telephone_number": "805-578-8300",
            "fax_number": "805-578-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 N SAN JACINTO ST",
            "address_2": "SUITE 3C",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925433109",
            "telephone_number": "951-652-2811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PATHOLOGY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-23",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "MARE",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-925-6318",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D1106961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hemet, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; 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.