Valley Interventional Pain Medical GRP

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

05D1086032 Issued in CA

Legal business name

VALLEY INTERVENTIONAL PAIN MEDICAL GRP

Practice address

1524 McHenry Ave
#445
Modesto, CA 95350

Phone

(209) 571-1693

Fax

(209) 571-0326

NPI assigned

Dec 18, 2008

Last updated

Mar 19, 2015By 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. James E Barnett, MD

Title

Owner

Phone

(209) 571-1693

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1229558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426723200000",
    "number": "1881830040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 MCHENRY AVE.",
            "address_2": "#445",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95350",
            "telephone_number": "209-571-1693",
            "fax_number": "209-571-0326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 MCHENRY AVE",
            "address_2": "#445",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95350",
            "telephone_number": "209-571-1693",
            "fax_number": "209-571-0326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY INTERVENTIONAL PAIN MEDICAL GRP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-18",
        "last_updated": "2015-03-19",
        "status": "A",
        "authorized_official_last_name": "BARNETT",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-571-1693",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "CA",
            "license": "05D1086032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA  STATE OF CA",
            "identifier": "05D1086032",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Valley Children's Medical Group
• Valley Hand Center
• Valley Heart Associates Medical Group Inc
• Valley Hope Community Partnership
• Valley Internist Physicians Medical Group, Inc.
• Valley Medical Systems, Inc. (Valley Home Care)
• Valley Nephrology Associates
• Valley Oak Pediatric Associates
• Valley Orthopaedic Bone and Joint
• Valley Physical Therapy Solutions, Inc.

• Clinical Medical Laboratory in Modesto, CA
• Providers in Modesto, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.