VVS Primary Care Medical Group, Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G54090 Issued in CA

Legal business name

VVS PRIMARY CARE MEDICAL GROUP, INC.

Practice address

1345 Grand Ave
Suite 103
Piedmont, CA 94610-1000

Phone

(510) 428-4900

Fax

(510) 428-4904

NPI assigned

Sep 3, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Debra Turner

Title

Ceo

Phone

(510) 428-4900

Specialties & licenses 1

Addresses

Other names 1

• Piedmont Primary Care Doing business as

Locations

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

{
    "created_epoch": "1346630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440633600000",
    "number": "1710236906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 GRAND AVE",
            "address_2": "SUITE 103",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946101000",
            "telephone_number": "510-428-4900",
            "fax_number": "510-428-4904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1345 GRAND AVE",
            "address_2": "SUITE 103",
            "city": "PIEDMONT",
            "state": "CA",
            "postal_code": "946101000",
            "telephone_number": "510-428-4900",
            "fax_number": "510-428-4904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VVS PRIMARY CARE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-03",
        "last_updated": "2015-08-27",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-428-4900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G54090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Piedmont Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shufang Tsai, PSYD
• Katrina Unpingco, FNP-C
• Vicky Valverde-Salas, M.D.
• Karen Van Leuven, PHD, FNP
• VVS Primary Care Medical Group
• Jonathan Chu Wang
• Patricia French Wede, R.N., GNP
• Jennifer Faust Weinstein, PSYD
• Melissa Ilene Wenters, AU D
• Adrian Lloyd Willey, MA

• Family Medicine Physician in Piedmont, CA
• Providers in Piedmont, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2015; 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.