Valley Care Medical Group, Inc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

A89810 Issued in CA

Legal business name

VALLEY CARE MEDICAL GROUP, INC

Practice address

777 Hawkeye Ave
Suite 3
Turklock, CA 95380

Phone

(209) 667-1718

NPI assigned

Sep 12, 2007

Last updated

Sep 14, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Susan Phi Le, MDNPI 1073691572

Title

Physician

Phone

(209) 241-6309

Specialties & licenses 1

Addresses

Locations

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.

• Susan P. Le, MD

  • Family Medicine Physician
  • Turlock, CA
  • NPI 1073691572
  Authorized official Same address or phone

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

{
    "created_epoch": "1189555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1831384981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4021 THORNHILL WAY",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953569351",
            "telephone_number": "209-241-6309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 HAWKEYE AVE",
            "address_2": "SUITE 3",
            "city": "TURKLOCK",
            "state": "CA",
            "postal_code": "95380",
            "telephone_number": "209-667-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CARE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-12",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "PHI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "209-241-6309",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "A89810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; 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.