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GREATER VALLEY PHYSICIANS MEDICAL GROUP INC
NPI 1053500991
Clinic/Center - Primary Care in Hacienda Heights, CA

Active since October 16, 2007CLIA 05D2096529 · Waiver
2219 S HACIENDA BLVD, SUITE 101, HACIENDA HEIGHTS, CA 91745(626) 961-2461(626) 330-5392 Get Directions Write a Review

NPPES record last updated: March 8, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Greater Valley Physicians Medical Group Inc NPPES

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

GREATER VALLEY PHYSICIANS MEDICAL GROUP INC (NPI 1053500991) is a healthcare organization registered as a primary care in Hacienda Heights, California and active in the NPI registry since October 2007. The organization holds a CLIA Waiver certificate valid through February 29, 2028 and lists Lakshman Makandura, Physician/ Owner, as its authorized official.

NPPES Registry Identity

NPI1053500991
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameGREATER VALLEY PHYSICIANS MEDICAL GROUP INC
Location Address2219 S HACIENDA BLVD, SUITE 101Hacienda Heights, CA 91745-4639
Mailing Address2219 S Hacienda Blvd, Suite 101Hacienda Heights, CA 91745-4639 · (626) 961-2461 · Fax (626) 330-5392
Phone(626) 961-2461
Fax(626) 330-5392
Organization SubpartNo
Authorized OfficialLakshman MakanduraPhysician/ Owner · (626) 961-2461
Enumeration DateOctober 16, 2007
Last NPPES UpdateMarch 8, 2013
✔ NPI 1053500991 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in CA · A49715
2219 S HACIENDA BLVD, Hacienda Heights, CA 91745
Open in Google Maps ↗

Other Identifiers 2

Medicare UPINF32536CA
Medicaid00A49715CA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2096529

Greater Valley Physicians Medical Group · Hacienda Heights, CA
Active · expires Feb 29, 2028
CLIA Number05D2096529
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorMakandura D. Lakshman
Laboratory Phone(626) 338-8407
Laboratory LocationGreater Valley Physicians Medical Group2219 S Hacienda Blvd Ste 101, Hacienda Heights, CA 91745
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HONG JIN L.AC.
Acupuncturist
2219 S HACIENDA BLVD, #204
HACIENDA HEIGHTS, CA 91745
Los Angeles County (626) 369-6658
CHILDRENS DENTAL CARE CENTER
Dentist (Pediatric Dentistry)
2219 S HACIENDA BLVD, 100
HACIENDA HEIGHTS, CA 91745
Los Angeles County (626) 369-1177
DR. ANGELA W HUANG ANGELA HUANG
Dentist
2219 S HACIENDA BLVD, STE 208
HACIENDA HEIGHTS, CA 91745
Los Angeles County (626) 369-5223
DR. JENNIFER JIN YUH HUNG DDS
Dentist
2219 S HACIENDA BLVD, #100
HACIENDA HEIGHTS, CA 91745
Los Angeles County (626) 369-1177
DR. JAMES S. LIN DENTAL CORP.
Dentist
2219 S HACIENDA BLVD, STE 206
HACIENDA HEIGHTS, CA 91745
Los Angeles County (626) 330-2022
MS. TATIANA CELINA MANRIQUEZ B.A
Behavior Analyst
2219 S HACIENDA BLVD
HACIENDA HEIGHTS, CA 91745
Los Angeles County (626) 764-0002
MELANIE ANDRADE
Behavior Technician
2219 S HACIENDA BLVD
HACIENDA HEIGHTS, CA 91745
Los Angeles County (626) 764-0001
TINA LAM M.ED
Behavior Analyst
2219 S HACIENDA BLVD
HACIENDA HEIGHTS, CA 91745
Los Angeles County (626) 764-0002

Frequently Asked Questions

What is GREATER VALLEY PHYSICIANS MEDICAL GROUP INC's NPI number?

The NPI number assigned to this healthcare provider is 1053500991, enumerated as an "organization" on October 16, 2007.

Where is the provider located?

The provider is located at 2219 S HACIENDA BLVD SUITE 101 HACIENDA HEIGHTS, CA 91745 and the phone number is (626) 961-2461.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP2300X and a focus in Primary Care.

What insurance does GREATER VALLEY PHYSICIANS MEDICAL GROUP INC accept?

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.