NPIMap

Organization Active NPI

Valley Perinatal & Genetics Diagnostic Center Medical Group, Inc.

  • Maternal & Fetal Medicine Physician
  • Stockton, CA
National Provider Identifier
1821534686
Registry record updated Jan 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
G460810 Issued in CA
Legal business name
VALLEY PERINATAL & GENETICS DIAGNOSTIC CENTER MEDICAL GROUP, INC.
Practice address
1617 N California St
Ste. 2D
Stockton, CA 95204-6117
Phone
(209) 933-9888
Fax
(209) 933-9988
NPI assigned
Jan 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2017

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

Authorized official

Name
Jasbir Singh Gill, MDNPI 1538681432
Title
President
Phone
(209) 334-6583

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
Maternal & Fetal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VM0101X G460810 CA Primary

Addresses

Primary practice location

1617 N California St
Ste. 2D
Stockton, CA 95204-6117

Mailing address

PO Box 967
Lodi, CA 95241-0967
Phone (209) 334-1800

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1106791Valley Perinatal & Genetics Diagnostic Center1617 N California St Ste 2D, Stockton, CA 95204Provider-performed microscopyOct 21, 2027

National Provider Directory

National Provider Directory
Tax ID family
Valley Perinatal Genetic Diag Ctr Med2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 9

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

NPI Registry JSON

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

{
    "created_epoch": "1484611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484611200000",
    "number": "1821534686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 967",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952410967",
            "telephone_number": "209-334-1800",
            "fax_number": "209-334-2416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1617 N CALIFORNIA ST",
            "address_2": "STE. 2D",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952046117",
            "telephone_number": "209-933-9888",
            "fax_number": "209-933-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PERINATAL & GENETICS DIAGNOSTIC CENTER MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-17",
        "last_updated": "2017-01-17",
        "status": "A",
        "authorized_official_last_name": "GILL",
        "authorized_official_first_name": "JASBIR",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "209-334-6583",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "G460810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.