Valley OB/GYN Medical Group,Inc.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

VALLEY OB/GYN MEDICAL GROUP,INC.

Practice address

1600 E Florida Ave
Hemet, CA 92544-8639

Phone

(951) 765-1766

Fax

(951) 765-1770

NPI assigned

Jun 9, 2006

Last updated

Aug 2, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Syed M Rizvi, M.D.NPI 1295770287

Title

Owner

Phone

(951) 765-1766

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Syed Munawwar Rizvi, M.D.

  • Obstetrics & Gynecology Physician
  • Hemet, CA
  • NPI 1295770287
  Medicare reassignment NPD Authorized official
• Tannaz Ebrahimi Adib, M.D.

  • Obstetrics & Gynecology Physician
  • Oceanside, CA
  • NPI 1164663860
  Medicare reassignment NPD
• Tiffany Penhallurick, PA-C

  • Physician Assistant
  • Hemet, CA
  • NPI 1083952147
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501632000000",
    "number": "1548201965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 E FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925448639",
            "telephone_number": "951-765-1766",
            "fax_number": "951-765-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 E FLORIDA AVE",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925448639",
            "telephone_number": "951-765-1766",
            "fax_number": "951-765-1770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY OB/GYN MEDICAL GROUP,INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2017-08-02",
        "status": "A",
        "authorized_official_last_name": "RIZVI",
        "authorized_official_first_name": "SYED",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-765-1766",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0102090",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Israel Valdez Hernandez, LCSW
• Thania Valdez-Yakuta
• Diana Valdez, OTR/L
• Steven Valenzuela, CRNA
• Catalina Valera
• Valley Pathology Medical Group
• Valley Pathology Medical Group
• Valley Pathology Medical Group
• Valley Restart Shelter
• Valleywide Hearing Aid Center Inc.

• Obstetrics & Gynecology Physician in Hemet, CA
• Providers in Hemet, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.