Individual provider Active NPI

Monica A. Valenzuela-Gamm, D.O.

  • Obstetrics & Gynecology Physician
  • Upland, CA
National Provider Identifier
1477575694
Registry record updated Jun 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20A8687 Issued in CA
Practice address
1310 San Bernardino Rd
Suite # 201
Upland, CA 91786-4979
Phone
(909) 355-7855
Fax
(909) 355-7856
NPI assigned
Jul 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 20A8687 CA Primary

Addresses

Primary practice location

1310 San Bernardino Rd
Suite # 201
Upland, CA 91786-4979

Mailing address

1310 San Bernardino Rd
Suite # 201
Upland, CA 91786-4979
Phone (909) 355-7855

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140604000839 CA Practitioner - Obstetrics/Gynecology 3072745918 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Care for Womens Medical Group IncGroup PAC ID 3173755014, 4 clinicians

Practice addresses (Care Compare)

1310 San Bernardino Rd
Suite 201
Upland, CA 91786-4985
Phone (909) 355-7855

Hospital & facility affiliations

  • San Antonio Regional Hospital Hospital, Upland, CA, CCN 050099

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A8687CAMDObstetrics & Gynecology Physician
8687CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Care for Womens Medical Group Inc CurrentSince Jan 1, 2014 Accepting new patients
Care for Womens Medical Group Inc CurrentSince Nov 1, 2013 Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients

Locations

15944 Los Serranos Country Club Dr
Ste 230
Chino Hills, CA 91709
Phone (909) 355-7855

12442 Limonite Ave
Unit 207
Eastvale, CA 91752
Phone (951) 356-8000

1798 N Garey Ave
Pomona, CA 91767
Phone (909) 865-9810

8300 Utica Ave
Ste 135
Rancho Cucamonga, CA 91730
Phone (929) 386-5021

1310 San Bernardino Rd
Ste 201
Upland, CA 91786
Phone (909) 355-7855

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1477575694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1310 SAN BERNARDINO RD",
            "address_2": "SUITE # 201",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864979",
            "telephone_number": "909-355-7855",
            "fax_number": "909-355-7856"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SAN BERNARDINO RD",
            "address_2": "SUITE # 201",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864979",
            "telephone_number": "909-355-7855",
            "fax_number": "909-355-7856"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA-GAMM",
        "first_name": "MONICA",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A8687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Upland, CA

Sources for this page

Verify at the official NPI Registry.