Valley Heart Associates Medical Group Inc

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

VALLEY HEART ASSOCIATES MEDICAL GROUP INC

Practice address

1540 Florida Ave
Ste 100
Modesto, CA 95350-4430

Phone

(209) 577-5557

Fax

(209) 579-7246

NPI assigned

Jun 7, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Merillat, MDNPI 1346280229

Title

President

Phone

(209) 577-5557

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Charles Merillat, MD

  • Cardiovascular Disease Physician
  • Modesto, CA
  • NPI 1346280229
  Medicare reassignment Care Compare group Authorized official
• Dat Thanh DO, M.D.

  • Interventional Cardiology Physician
  • Modesto, CA
  • NPI 1962508325

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Navneet K. Dullet, MD

  • Clinical Cardiac Electrophysiology Physician
  • Modesto, CA
  • NPI 1073680971

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Alan Anthony Garvin, MD

  • Cardiovascular Disease Physician
  • Modesto, CA
  • NPI 1386684132
  Medicare reassignment Care Compare group NPD
• Talwinderdeep Singh Kahlon, M.D.

  • Cardiovascular Disease Physician
  • Modesto, CA
  • NPI 1366760027
  Medicare reassignment Care Compare group NPD
• Satnam Singh Ludder, MD

  • Cardiovascular Disease Physician
  • Modesto, CA
  • NPI 1063469245
  Medicare reassignment Care Compare group NPD
• Colm Joseph Murphy, MD

  • Interventional Cardiology Physician
  • Burlingame, CA
  • NPI 1881291979

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Marlon Getulio Ramilo, M.D.

  • Cardiovascular Disease Physician
  • Modesto, CA
  • NPI 1659316412
  Medicare reassignment Care Compare group NPD
• Siddharth Burugupalli Reddy, MD

  • Interventional Cardiology Physician
  • Modesto, CA
  • NPI 1760800338

  Cardiovascular Disease

  Medicare reassignment Care Compare group NPD
• Anant K Vyas, MD

  • Cardiovascular Disease Physician
  • Modesto, CA
  • NPI 1174785695
  Medicare reassignment Care Compare group NPD
• James C Macmillan, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Modesto, CA
  • NPI 1366499584
  Medicare reassignment NPD
• Shewit K Weldetensae, MD

  • Cardiovascular Disease Physician
  • Modesto, CA
  • NPI 1972550150
  Medicare reassignment NPD

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1689614562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 FLORIDA AVE",
            "address_2": "STE 100",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504430",
            "telephone_number": "209-577-5557",
            "fax_number": "209-579-7246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 FLORIDA AVE",
            "address_2": "STE 100",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504430",
            "telephone_number": "209-577-5557",
            "fax_number": "209-579-7246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY HEART ASSOCIATES MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "MERILLAT",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-577-5557",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "ZZZ76734Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ76734Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Liliana Valles
• Valley Associated Urology Medical Group Inc
• Valley Cancer Medical Group
• Valley Children'S Medical Group
• Valley Hand Center
• Valley Hope Community Partnership
• Valley Internist Physicians Medical Group, Inc.
• Valley Interventional Pain Medical GRP
• Valley Medical Systems, Inc.
• Valley Nephrology Associates

• Cardiovascular Disease Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Cardiovascular Disease Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.