Active NPI
Valley Clinica Medica General Medical Center Inc.
- Multi-Specialty Clinic/Center
- Arleta, CA
National Provider Identifier
1962459479
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- VALLEY CLINICA MEDICA GENERAL MEDICAL CENTER INC.
- Practice address
- 8646 Woodman Ave
Arleta, CA 91331-6503 - Phone
- (818) 901-9090
- Fax
- (818) 901-9347
- NPI assigned
- May 28, 2006
- Last updated
- May 26, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jose L Carrillo Jr.
- Title
- Office Manager
- Phone
- (213) 739-3282
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | NU | Primary |
Addresses
Primary practice location
8646 Woodman Ave
Arleta, CA 91331-6503
Mailing address
PO Box 564
Beverly Hills, CA 90213-0564
Phone (213) 637-2530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0076080 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- General Practice Physician
- West Hills, CA
- NPI 1861573149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685059200000",
"number": "1962459479",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 564",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902130564",
"telephone_number": "213-637-2530",
"fax_number": "213-384-3373"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8646 WOODMAN AVE",
"city": "ARLETA",
"state": "CA",
"postal_code": "913316503",
"telephone_number": "818-901-9090",
"fax_number": "818-901-9347"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY CLINICA MEDICA GENERAL MEDICAL CENTER INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-28",
"last_updated": "2023-05-26",
"certification_date": "2022-03-02",
"status": "A",
"authorized_official_last_name": "CARRILLO",
"authorized_official_first_name": "JOSE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "213-739-3282",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0076080",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arleta, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.