Active NPI
Valley Pathology Medical Group
- Clinical Medical Laboratory
- Hemet, CA
National Provider Identifier
1467776203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- License
- 05D1106961
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Steven Valenzuela, CRNA
- Catalina Valera
- Valley OB/GYN Medical Group,Inc.
- Valley Pathology Medical Group
- Valley Pathology Medical Group
- Valley Restart Shelter
- Valleywide Hearing Aid Center Inc.
- Valor Healthcare Solutions and Adult Residential Care
- Gary Peter-James Van Lue Gonzalez, D.C., M.D.
- Philippus Van Niekerk
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.