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VALLEY WIDE MEDICAL GROUP INC
NPI 1023295458
Family Medicine in Boron, CA

Active since January 29, 2008
12500 BORON AVE, BORON, CA 93730(760) 762-5111(760) 762-5695 Get Directions Write a Review

NPPES record last updated: June 23, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Valley Wide Medical Group Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VALLEY WIDE MEDICAL GROUP INC (NPI 1023295458) is a healthcare organization registered as a family medicine in Boron, California and active in the NPI registry since January 2008. The organization lists Prabhakar Tummala, President, as its authorized official.

NPPES Registry Identity

NPI1023295458
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVALLEY WIDE MEDICAL GROUP INC
Location Address12500 BORON AVEBoron, CA 93730
Mailing Address12500 Boron AveBoron, CA 93730 · (760) 762-5111 · Fax (760) 762-5695
Phone(760) 762-5111
Fax(760) 762-5695
Organization SubpartNo
Authorized OfficialPrabhakar TummalaPresident · (909) 945-7687
Enumeration DateJanuary 29, 2008
Last NPPES UpdateJune 23, 2008
✔ NPI 1023295458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A89858
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
12500 BORON AVE, Boron, CA 93730
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Valley Wide Medical Group Inc's NPI number?

The NPI number for Valley Wide Medical Group Inc is 1023295458. It was assigned to this organization in the NPPES registry on January 29, 2008.

Where is Valley Wide Medical Group Inc located?

Valley Wide Medical Group Inc is located at 12500 Boron Ave, Boron, CA 93730. The listed phone number is (760) 762-5111.

What is Valley Wide Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Valley Wide Medical Group Inc was last updated on June 23, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.