VALLEY PHYSICIANS MEDICAL GROUP, INC.
NPI 1376538132
Family Medicine in Alhambra, CA

Active since September 16, 2005CLIA 05D0930515 · Waiver
841 W VALLEY BLVD, SUITE 104, ALHAMBRA, CA 91803(626) 282-3113(626) 289-9179 Get Directions Write a Review

NPPES record last updated: September 1, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Valley Physicians Medical Group, Inc. NPPES

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

VALLEY PHYSICIANS MEDICAL GROUP, INC. (NPI 1376538132) is a healthcare organization registered as a family medicine in Alhambra, California and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through April 24, 2027 and lists Prasert Basil Vassantachart, Owner, as its authorized official.

NPPES Registry Identity

NPI1376538132
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameVALLEY PHYSICIANS MEDICAL GROUP, INC.
Location Address841 W VALLEY BLVD, SUITE 104Alhambra, CA 91803-3251
Mailing Address841 W Valley Blvd, Suite 104Alhambra, CA 91803-3251 · (626) 282-3113 · Fax (626) 289-9179
Fax(626) 289-9179
Organization SubpartNo
Authorized OfficialPrasert Basil VassantachartOwner · (626) 282-3113
Enumeration DateSeptember 16, 2005
Last NPPES UpdateSeptember 1, 2011
✔ NPI 1376538132 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 · GH4008
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.
841 W VALLEY BLVD, Alhambra, CA 91803

Other Identifiers 3

MedicaidGR0016470CA
Medicare UPINA49520
Medicare ID-Type UnspecifiedW7955CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Valley Physicians Medical Group, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateCaliforniaEnrollment IDO20110908001850Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Valley Physicians Medical Group, Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

General Practice
NPI 1295720050
841 W VALLEY BLVD SUITE 104
Alhambra, CA 91803
(626) 282-3113
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 05D0930515

Valley Physicians Medical Group, Inc · Alhambra, CA
Active · expires Apr 24, 2027
CLIA Number05D0930515
Laboratory TypePhysician Office
Certificate Effective DateApril 25, 2025
Certificate Expiration DateApril 24, 2027
Laboratory DirectorPraseri B. Vassantachart MD
Laboratory Phone(626) 282-3113
Laboratory LocationValley Physicians Medical Group, Inc841 W Valley Blvd #104, Alhambra, CA 91803
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Physicians Medical Group, Inc.'s NPI number?

The NPI number for Valley Physicians Medical Group, Inc. is 1376538132. It was assigned to this organization in the NPPES registry on September 16, 2005.

Where is Valley Physicians Medical Group, Inc. located?

Valley Physicians Medical Group, Inc. is located at 841 W Valley Blvd Suite 104, Alhambra, CA 91803. The listed phone number is (626) 282-3113.

What is Valley Physicians Medical Group, Inc.'s specialty?

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

Is Valley Physicians Medical Group, Inc. enrolled in Medicare?

Yes. Valley Physicians Medical Group, Inc. is registered in the Medicare PECOS enrollment system.

When is Valley Physicians Medical Group, Inc.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Valley Physicians Medical Group, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Practice) reassigns their Medicare billing to Valley Physicians Medical Group, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Valley Physicians Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0930515) is associated with this NPI, valid through April 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Valley Physicians Medical Group, Inc. was last updated on September 1, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.