NPIMap

Individual provider Active NPI

Valentine U Otuechere, MD., MPH.

  • Internal Medicine Physician
  • Riverside, CA
National Provider Identifier
1508896275
Registry record updated Aug 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A93662 Issued in CA
Practice address
8990 Garfield St Ste 6
Riverside, CA 92503-3922
Phone
(951) 343-1616
Fax
(951) 343-1666
NPI assigned
Jul 5, 2006
Last updated
Aug 7, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A93662 CA
Internal Medicine Physician 207R00000X A93662 CA Primary
General Practice Physician 208D00000X A93662 CA

Addresses

Primary practice location

8990 Garfield St Ste 6
Riverside, CA 92503-3922

Mailing address

8990 Garfield St Ste 6
Riverside, CA 92503-3922
Phone (951) 343-1616

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091012000198 CA Practitioner - Family PracticePractitioner - Preventive MedicinePractitioner - Pediatric MedicinePractitioner - General PracticePractitioner - Internal Medicine 4486790102 Reassigns benefits to 2 organizations
Practice locations: Riverside, CA

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice, Internal Medicine, Pediatric Medicine, Preventive Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crestpoint Medical Group, IncGroup PAC ID 2860923828, 2 clinicians

Practice addresses (Care Compare)

1611 Pomona Rd
Corona, CA 92878-4324
Phone (909) 757-8668

8990 Garfield St
Riverside, CA 92503-3922
Phone (951) 343-1616

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A93662CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crestpoint Medical Group Inc Family Medicine CurrentSince Aug 13, 2024 Accepting new patients
Maxlife Medical Group Inc CurrentSince Dec 1, 2025 Accepting new patients
Wholesome Psychiatry and Medical Services Inc Past Accepting new patients
Sonsy Behavioral a Medical Corporation PastSince Dec 2, 2021 Accepting new patients

Locations

1611 Pomona Rd
#235
Corona, CA 92878
Phone (909) 757-8668

1611 Pomona Rd
Ste 235
Corona, CA 92878
Phone (909) 757-8668

11161 Washington Blvd
Whittier, CA 90606
Phone (562) 695-2250

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AGABCA/Endpoint/AGABCA

Organizations & group practices 6

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

Hospital & facility affiliations 5

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344297600000",
    "number": "1508896275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8990 GARFIELD ST STE 6",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033922",
            "telephone_number": "951-343-1616",
            "fax_number": "951-343-1666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8990 GARFIELD ST STE 6",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033922",
            "telephone_number": "951-343-1616",
            "fax_number": "951-343-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTUECHERE",
        "first_name": "VALENTINE",
        "middle_name": "U",
        "credential": "MD., MPH.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2012-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A93662",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A93662",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A93662",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.