PV Healthcare Corp

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

PV HEALTHCARE CORP

Doing business as

Valencia Medical Spa and Clinic

Practice address

28212 Kelly Johnson Pkwy Ste 120
Valencia, CA 91355-5085

Phone

(661) 282-1919

NPI assigned

Mar 2, 2020

Organization subpart

No

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

Authorized official

Name

Camellia Babaie, MD

Title

Owner

Phone

(904) 429-4188

Specialties & licenses 1

Addresses

Other names 1

• Valencia Medical Spa and Clinic Doing business as

Practitioners 1

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.

• Jessica Maria Ekengren, D.C.

  • Chiropractor
  • Valencia, CA
  • NPI 1528179447
  NPD

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

{
    "created_epoch": "1583107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583107200000",
    "number": "1669006490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23817 GARLAND CT",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913542603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28212 KELLY JOHNSON PKWY STE 120",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555085",
            "telephone_number": "661-282-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PV HEALTHCARE CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-02",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A",
        "authorized_official_last_name": "BABAIE",
        "authorized_official_first_name": "CAMELLIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-429-4188",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valencia Medical Spa and Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Internal Medicine Physician in Valencia, CA
• Providers in Valencia, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.