Organization Active NPI

Valencia Internal Medical Group Inc

  • Internal Medicine Physician
  • Valencia, CA
National Provider Identifier
1669482048
Registry record updated Oct 1, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A54446 Issued in CA
Legal business name
VALENCIA INTERNAL MEDICAL GROUP INC
Practice address
23823 Valencia Blvd
Suite 210
Valencia, CA 91355-2103
Phone
(661) 222-7333
Fax
(661) 259-9175
NPI assigned
Aug 9, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2014

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

Authorized official

Name
Lakhbinder Palsingh Dhanda, M.DNPI 1104867555
Title
President
Phone
(661) 222-7333

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: 193400000X SINGLE SPECIALTY GROUP 207R00000X A54446 CA Primary

Addresses

Primary practice location

23823 Valencia Blvd
Suite 210
Valencia, CA 91355-2103

Mailing address

23823 Valencia Blvd
Suite 210
Valencia, CA 91355-2103
Phone (661) 222-7333

Other identifiers 2

IdentifierTypeStateIssuer
00A544460MedicaidCA
W16326OtherCAPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050621000813 CA Part B Supplier - Clinic/Group Practice 2668417601 Receives reassigned benefits from 1 practitioner
Practice locations: Valencia, CA

National Provider Directory

National Provider Directory

Locations

23823 Valencia Blvd
Ste 21
Valencia, CA 91355
Phone (661) 222-7333

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412121600000",
    "number": "1669482048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23823 VALENCIA BLVD",
            "address_2": "SUITE 210",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552103",
            "telephone_number": "661-222-7333",
            "fax_number": "661-259-9175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23823 VALENCIA BLVD",
            "address_2": "SUITE 210",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552103",
            "telephone_number": "661-222-7333",
            "fax_number": "661-259-9175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALENCIA INTERNAL MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2014-10-01",
        "status": "A",
        "authorized_official_last_name": "DHANDA",
        "authorized_official_first_name": "LAKHBINDER",
        "authorized_official_middle_name": "PALSINGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-222-7333",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A54446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A544460",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "W16326",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2014; 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.