Santa Clara Valley Medical Group Inc.

LBN: Santa Clara Valley Medical Group Inc.
Santa Clara Valley Medical Group Inc. is an health care organization with primary practice located at 147 N Brent St , Ventura CA 93003-2809. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Santa Clara Valley Medical Group Inc. can be contacted via phone (805) 652-5011, or through Dominguez, Victor via phone (805) 525-9595.

Contact Information

Primary practice address
147 N Brent St Ventura CA 93003-2809
Phone: (805) 652-5011
Fax: (805) 667-2865
Website:
Map and Directions
Authorized official contact:
Name: Dominguez, Victor Doctor of Medicine (MD)
Phone: (805) 525-9595

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X A55866 California

Profile Details

NPI number 1629103890
LBN Legal business name Santa Clara Valley Medical Group Inc.
DBA Doing business as
Authorized official Dominguez, Victor Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2007
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1629103890 NPPES
California Other 0103120 MEDI-CAL

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