Individual provider Active NPI

Valentin A. Lance, MD

  • Diagnostic Radiology Physician
  • La Mesa, CA
National Provider Identifier
1720303191
Registry record updated Jun 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A118759 Issued in CA
Practice address
5555 Grossmont Center Dr
Radiology Department
La Mesa, CA 91942-3019
Phone
(800) 841-5200
Fax
(508) 273-1241
NPI assigned
Mar 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X A118759 CA Primary

Addresses

Primary practice location

5555 Grossmont Center Dr
Radiology Department
La Mesa, CA 91942-3019

Mailing address

5555 Grossmont Center Dr
Radiology Department
La Mesa, CA 91942-3019
Phone (619) 740-4008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150812007943 CA Practitioner - Diagnostic Radiology 0840421103 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sharp Rees-Stealy Medical Group IncGroup PAC ID 8628972759, 872 clinicians

Practice addresses (Care Compare)

8933 Activity Rd
San Diego, CA 92126-4427
Phone (858) 499-2600

Merit-based Incentive Payment System (MIPS)

Final score
88.67 of 100Reported as group
Quality
81.04
Promoting interoperability
99
Improvement activities
40
Cost
82.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
118759CAMDMarriage & Family Therapist
A118759CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Jan 8, 2024 Accepting new patients
Regents of the University of California Diagnostic Radiology CurrentSince Jul 1, 2015 Accepting new patients
Sharp Rees-Stealy Medical Group, Inc CurrentSince Jan 8, 2024 Accepting new patients
X-Ray Medical Group Inc Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Sharp Rees-Stealy Medical Center Past Accepting new patients
Grossmont Hospital Corporation PastSince Jul 1, 2016 Accepting new patients

Locations

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

7777 Alvarado Rd
Ste 108
La Mesa, CA 91942
Phone 6194602770 ext. 303

8860 Center Dr
Ste 100
La Mesa, CA 91942
Phone (619) 740-4000

2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500

8933 Activity Rd
San Diego, CA 92126
Phone (858) 499-2704

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

10 Little Brook Rd
West Wareham, MA 02576

Interoperability endpoints

  • Direct secure messaging: vlance62579@sharphealthcare.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1269820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467244800000",
    "number": "1720303191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 GROSSMONT CENTER DR",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423019",
            "telephone_number": "619-740-4008",
            "fax_number": "619-740-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 GROSSMONT CENTER DR",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423019",
            "telephone_number": "800-841-5200",
            "fax_number": "508-273-1241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANCE",
        "first_name": "VALENTIN",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-29",
        "last_updated": "2016-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A118759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.