Valley Gastroenterolgy Consultants Medical Center, Inc.

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

VALLEY GASTROENTEROLGY CONSULTANTS MEDICAL CENTER, INC.

Practice address

1330 W Covina Blvd
Suite 203
San Dimas, CA 91773-3200

Phone

(909) 592-6157

Fax

(909) 592-1544

NPI assigned

Aug 15, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Samuel Mourani, M.D.

Title

President

Phone

(909) 592-6157

Specialties & licenses 1

Addresses

Tax ID family

Valley Gastoenterology Consultants2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Valley Gastroenterology Consultants

  • Clinic/Center
  • Arcadia, CA
  • NPI 1710344197
  NPD tax ID

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487656864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 E SANTA CLARA ST",
            "address_2": "SUITE 103",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067229",
            "telephone_number": "909-592-6157",
            "fax_number": "909-592-1544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 W COVINA BLVD",
            "address_2": "SUITE 203",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917733200",
            "telephone_number": "909-592-6157",
            "fax_number": "909-592-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY GASTROENTEROLGY CONSULTANTS MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MOURANI",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-592-6157",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Valencia
• Alyssa Valenzuela, OD
• Guadalupe Valenzuela, INTERPRETER
• Indiana Valenzuela
• Janice Floria Valledor, RN
• Valley Orthopedic Associates Medical Group, Inc.
• Madison Vander Broek, OTR/L
• Joanna Vanegas
• Teilani Vann
• Jessica Raquel Vargas

• Gastroenterology Physician in San Dimas, CA
• Providers in San Dimas, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.