Vinod K. Valiveti M.d. Inc., | |
1901 Outlet Center Dr Suite 250 Oxnard CA 93036-0663 | |
(805) 278-0720 | |
(805) 988-4482 |
Full Name | Vinod K. Valiveti M.d. Inc., |
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Speciality | Internal Medicine |
Location | 1901 Outlet Center Dr, Oxnard, California |
Authorized Official Name and Position | Vinod K Valiveti (PRESIDENT) |
Authorized Official Contact | 8052780720 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vinod K. Valiveti M.d. Inc., Po Box 5062 Oxnard CA 93031-5062 Ph: (805) 278-0720 | Vinod K. Valiveti M.d. Inc., 1901 Outlet Center Dr Suite 250 Oxnard CA 93036-0663 Ph: (805) 278-0720 |
NPI Number | 1245263664 |
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Provider Enumeration Date | 07/09/2006 |
Last Update Date | 06/16/2010 |
Medicare PECOS PAC ID | 2860672656 |
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Medicare Enrollment ID | O20110210001143 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245263664 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | A73845 (California) | Primary |
Provider Name | Jennifer Marie Clark |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437335551 PECOS PAC ID: 0244296226 Enrollment ID: I20041202000275 |
Provider Name | Vinod K Valiveti |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1598714107 PECOS PAC ID: 4789689035 Enrollment ID: I20060920000449 |
Provider Name | Darlyn Grace Bano Lopez |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033705496 PECOS PAC ID: 6709101454 Enrollment ID: I20210625001627 |
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