Valleycare Gastroenterology Medical Group Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

G45934 Issued in CA

Legal business name

VALLEYCARE GASTROENTEROLOGY MEDICAL GROUP INC

Practice address

5575 W Las Positas Blvd
Suite 320
Pleasanton, CA 94588-5801

Phone

(925) 460-8167

Fax

(925) 460-0246

NPI assigned

May 3, 2006

Last updated

Aug 22, 2020By 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

Eric M Rowen, M.D.NPI 1891883583

Title

President

Phone

(925) 460-8167

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 5

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.

• Phillip A Wolfe, M.D.

  • Gastroenterology Physician
  • Pleasanton, CA
  • NPI 1710075411
  Medicare reassignment Care Compare group
• Perrin Doria Ybarra, PA-C

  • Physician Assistant
  • Raleigh, NC
  • NPI 1285092908

  CA

  Medicare reassignment Care Compare group
• Eric M Rowen, M.D.

  • Gastroenterology Physician
  • Pleasanton, CA
  • NPI 1891883583
  Authorized official Same address or phone
• Arun G. Suryaprasad, MD

  • Gastroenterology Physician
  • Vallejo, CA
  • NPI 1396897518
  NPD (past)
• Raymond H. Tu, MD

  • Gastroenterology Physician
  • San Jose, CA
  • NPI 1114003621
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1639137094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5575 W. LAS POSITAS BLVD",
            "address_2": "SUITE 320",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885804",
            "telephone_number": "925-460-8167",
            "fax_number": "925-460-0246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 W LAS POSITAS BLVD",
            "address_2": "SUITE 320",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945885801",
            "telephone_number": "925-460-8167",
            "fax_number": "925-460-0246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEYCARE GASTROENTEROLOGY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROWEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-460-8167",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G45934",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0085610",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G832720",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G459340",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Arlene Grace Valente, PTA
• Gabriela Valente
• Karina Valenzuela
• Jasmine Alexandra Valerio
• Valley Medical Oncology Consultants
• Valleycare Medical Foundation Inc
• Judith M Vanden Branden, R.N.P.
• Alyssa Chantel Vandenburgh
• Ralph Peter Vandersloot, DDS, MS
• Natasha Vashist

• Gastroenterology Physician in Pleasanton, CA
• Providers in Pleasanton, CA by specialty
• Gastroenterology 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.
• 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.