NPIMap

Organization Active NPI

Vally Medical Group, Apc

  • Internal Medicine Physician
  • Hilo, HI
National Provider Identifier
1558769430
Registry record updated Dec 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD15396 Issued in HI
Legal business name
VALLY MEDICAL GROUP, APC
Practice address
345 Kauila St
Hilo, HI 96720-2107
Phone
(808) 333-3544
Fax
(808) 333-3545
NPI assigned
Dec 9, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2014

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

Authorized official

Name
Zain Vally-Mahomed, MDNPI 1902945926
Title
Owner
Phone
(808) 333-3544

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X MD15396 HI Primary

Addresses

Primary practice location

345 Kauila St
Hilo, HI 96720-2107

Mailing address

475 Kinoole St
Suite 102-150
Hilo, HI 96720-2900
Phone (808) 333-3544

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1418083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418083200000",
    "number": "1558769430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 KINOOLE ST",
            "address_2": "SUITE 102-150",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202900",
            "telephone_number": "808-333-3544",
            "fax_number": "808-333-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 KAUILA ST",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202107",
            "telephone_number": "808-333-3544",
            "fax_number": "808-333-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLY MEDICAL GROUP, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-09",
        "last_updated": "2014-12-09",
        "status": "A",
        "authorized_official_last_name": "VALLY-MAHOMED",
        "authorized_official_first_name": "ZAIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-333-3544",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD15396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hilo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2014; 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.