Active NPI
Valley Health Medical Group, Inc
- Internal Medicine Physician
- North Hollywood, CA
National Provider Identifier
1609630755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- VALLEY HEALTH MEDICAL GROUP, INC
- Practice address
- 11240 Magnolia Blvd Ste 102
North Hollywood, CA 91601-3790 - Phone
- (747) 877-8184
- NPI assigned
- Feb 9, 2024
- Last updated
- Feb 9, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Plasencia Salvador, MD
- Title
- Owner
- Phone
- (747) 877-8184
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
11240 Magnolia Blvd Ste 102
North Hollywood, CA 91601-3790
Mailing address
11240 Magnolia Blvd Ste 102
North Hollywood, CA 91601-3790
Phone (747) 877-8184
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 6
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- Family Medicine Physician
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- NPI 1114737798
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1707436800000",
"number": "1609630755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11240 MAGNOLIA BLVD STE 102",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916013790",
"telephone_number": "747-877-8184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11240 MAGNOLIA BLVD STE 102",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916013790",
"telephone_number": "747-877-8184"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY HEALTH MEDICAL GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-09",
"last_updated": "2024-02-09",
"certification_date": "2024-02-09",
"status": "A",
"authorized_official_last_name": "SALVADOR",
"authorized_official_first_name": "PLASENCIA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "747-877-8184",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.