CLAYTON VALLEY MEDICAL GROUP, INC.
NPI 1720120819
Non-Pharmacy Dispensing Site in Clayton, CA

Q: What is Clayton Valley Medical Group, Inc.'s NPI number?

The NPI number for Clayton Valley Medical Group, Inc. is 1720120819. It was assigned to this organization in the NPPES registry on February 13, 2007.

Q: What is Clayton Valley Medical Group, Inc.'s specialty?

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

Active since February 13, 2007

1520 KIRKER PASS RD, SUITE A, CLAYTON, CA 94517(925) 672-6744 Get Directions Write a Review

NPPES record last updated: October 17, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Clayton Valley Medical Group, Inc. NPPES

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

CLAYTON VALLEY MEDICAL GROUP, INC. (NPI 1720120819) is a healthcare organization registered as a non-pharmacy dispensing site in Clayton, California and active in the NPI registry since February 2007. The organization lists Kenny Heine, Dir. Of Operations, as its authorized official.

NPPES Registry Identity

NPI1720120819

Entity TypeOrganization

Primary Taxonomy332900000X

Legal Business NameCLAYTON VALLEY MEDICAL GROUP, INC.

Location Address1520 KIRKER PASS RD, SUITE AClayton, CA 94517-1096

Mailing Address5626 Oberlin Dr, Suite 110San Diego, CA 92121-1705 · (858) 625-2990 · Fax (858) 625-2999

Phone(925) 672-6744

Organization SubpartYesParent: Medvantx, Inc.

Authorized OfficialKenny HeineDir. Of Operations · (858) 625-2990

Enumeration DateFebruary 13, 2007

Last NPPES UpdateOctober 17, 2012

✔ NPI 1720120819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNon-Pharmacy Dispensing SiteSuppliers

Taxonomy Code332900000X

License✔ Licensed in CA · G63252

Definition

A site other than a pharmacy that dispenses medicinal preparations under the supervision of a physician to patients for self-administration. (e.g. physician offices, ER, Urgent Care Centers, Rural Health Facilities, etc.)

1520 KIRKER PASS RD, Clayton, CA 94517

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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 Clayton Valley Medical Group, Inc.'s NPI number?

The NPI number for Clayton Valley Medical Group, Inc. is 1720120819. It was assigned to this organization in the NPPES registry on February 13, 2007.

Where is Clayton Valley Medical Group, Inc. located?

Clayton Valley Medical Group, Inc. is located at 1520 Kirker Pass Rd Suite A, Clayton, CA 94517. The listed phone number is (925) 672-6744.

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

The primary specialty registered for this NPI is Non-Pharmacy Dispensing Site with taxonomy code 332900000X.

When was this NPI record last updated?

The NPPES record for Clayton Valley Medical Group, Inc. was last updated on October 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.