Organization Active NPI

Valley Health Medical Group, Inc

  • Internal Medicine Physician
  • North Hollywood, CA
National Provider Identifier
1609630755
Registry record updated Feb 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2024

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)CodeLicenseStatePrimary
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

Enrollment IDStateProvider typePAC IDDetails
O20240328001235 CA Part B Supplier - Clinic/Group Practice 8426495268 Receives reassigned benefits from 5 practitioners
Practice locations: North Hollywood, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

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.

Verify at the official NPI Registry.