Success Valley Medical Group, Inc

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

A21821 Issued in CA

Legal business name

SUCCESS VALLEY MEDICAL GROUP, INC

Practice address

53 E Cleveland Ave
Porterville, CA 93257-3748

Phone

(559) 781-6323

Fax

(559) 781-7290

NPI assigned

Apr 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Hugo Rene Escobar, M.D.

Title

President

Phone

(559) 781-6323

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1548487580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 E CLEVELAND AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573748",
            "telephone_number": "559-781-6323",
            "fax_number": "559-781-7290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 E CLEVELAND AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573748",
            "telephone_number": "559-781-6323",
            "fax_number": "559-781-7290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS VALLEY MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESCOBAR",
        "authorized_official_first_name": "HUGO",
        "authorized_official_middle_name": "RENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-781-6323",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "CA",
            "license": "A21821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ76348Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donald Edward Stover, O.D.
• Brandon Strahan, RPT
• Rose Stromila
• Kourtney Ann Strub, PA
• Yao Su
• Kellie Ruth Sulier, PSYD
• Sun Villaidence Opco, LLC
• Sungho Kim DDS Inc
• Timothy Paul Suorsa, O.D.
• Rajeshwary Swamidurai, MD

• Vascular Surgery Physician in Porterville, CA
• Providers in Porterville, CA by specialty
• Vascular Surgery 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.