VALLEY OAK PEDIATRIC ASSOCIATES - NPI 1407843345

Q: What is Valley Oak Pediatric Associates's NPI number?

The NPI number for Valley Oak Pediatric Associates is 1407843345. It was assigned to this organization in the NPPES registry on October 5, 2005.

Q: What is Valley Oak Pediatric Associates's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

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About Valley Oak Pediatric Associates NPPES

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

VALLEY OAK PEDIATRIC ASSOCIATES (NPI 1407843345) is a healthcare organization registered as a pediatrics in Modesto, California and active in the NPI registry since October 2005. The organization holds a CLIA Waiver certificate valid through January 9, 2027 and lists Sarah L Koch, President, as its authorized official.

NPPES Registry Identity

NPI1407843345

Entity TypeOrganization

Primary Taxonomy208000000X

Legal Business NameVALLEY OAK PEDIATRIC ASSOCIATES

Location Address4120 PRESCOTT RDModesto, CA 95356-8418

Mailing Address4120 Prescott RdModesto, CA 95356-8418 · (209) 544-7300 · Fax (209) 544-7323

Phone(209) 544-7300

Fax(209) 544-7323

Organization SubpartNo

Authorized OfficialSarah L KochPresident · (209) 544-7300

Enumeration DateOctober 5, 2005

Last NPPES UpdateAugust 22, 2020

✔ NPI 1407843345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

4120 PRESCOTT RD, Modesto, CA 95356

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Other Identifiers 1

OtherGR0100530CA · Group Medi-cal Number

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

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 05D0686317

Valley Oak Pediatric Associates · Modesto, CA

Active · expires Jan 9, 2027

CLIA Number05D0686317

Laboratory TypePhysician Office

Certificate Effective DateJanuary 10, 2025

Certificate Expiration DateJanuary 9, 2027

Laboratory DirectorChristine Chan

Laboratory Phone(209) 544-7300

Laboratory LocationValley Oak Pediatric Associates4120 Prescott Rd, Modesto, CA 95356

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

MISS DONNA SILVA NP

Pediatrics