Individual provider Active NPI

Eugene V Palliccia, M.D.

  • Internal Medicine Physician
  • Valencia, CA
National Provider Identifier
1922027275
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G31928 Issued in CA
Practice address
25751 McBean Pkwy Ste 210
Valencia, CA 91355-3701
Phone
(661) 284-3122
NPI assigned
Jul 18, 2006
Last updated
Apr 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G31928 CA Primary

Addresses

Primary practice location

25751 McBean Pkwy Ste 210
Valencia, CA 91355-3701

Mailing address

25751 McBean Pkwy Ste 210
Valencia, CA 91355-3701
Phone (661) 284-3122

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G31928CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Motion Picture and Television Fund Medical Group Inc Internal Medicine Past Accepting new patients
Motion Picture and Television Fund Medical Group Inc Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398643200000",
    "number": "1922027275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25751 MCBEAN PKWY STE 210",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553701",
            "telephone_number": "661-284-3122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25751 MCBEAN PKWY STE 210",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553701",
            "telephone_number": "661-284-3122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLICCIA",
        "first_name": "EUGENE",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2014-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G31928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.