Organization Active NPI

Valley Digestive Center Inc

  • Ambulatory Surgical Clinic/Center
  • Arcadia, CA
National Provider Identifier
1932145109
Registry record updated Sep 28, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
VALLEY DIGESTIVE CENTER INC
Practice address
488 E Santa Clara St
Suite 102
Arcadia, CA 91006-7229
Phone
(626) 359-9555
Fax
(626) 359-9556
NPI assigned
Jun 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2007

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

Authorized official

Name
Mr. Christopher A Holden
Title
President of General Partner Corp.
Phone
(615) 665-1283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X CA Primary

Addresses

Primary practice location

488 E Santa Clara St
Suite 102
Arcadia, CA 91006-7229

Mailing address

488 E Santa Clara St
Suite 102
Arcadia, CA 91006-7229
Phone (626) 359-9555

Other identifiers 1

IdentifierTypeStateIssuer
SUR01634FMedicaidCA

Other names 1

  • Valley Digestive Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Valley Digestive Health Center Inc2 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.

Locations

488 E Santa Clara St
Ste 102
Arcadia, CA 91006
Phone (626) 359-9555

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190937600000",
    "number": "1932145109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "488 E SANTA CLARA ST",
            "address_2": "SUITE 102",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067229",
            "telephone_number": "626-359-9555",
            "fax_number": "626-359-9556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "488 E SANTA CLARA ST",
            "address_2": "SUITE 102",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910067229",
            "telephone_number": "626-359-9555",
            "fax_number": "626-359-9556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY DIGESTIVE CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-22",
        "last_updated": "2007-09-28",
        "status": "A",
        "authorized_official_last_name": "HOLDEN",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT OF GENERAL PARTNER CORP.",
        "authorized_official_telephone_number": "615-665-1283",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01634F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Digestive Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Arcadia, CA

Sources for this page

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