UKIAH VALLEY PRIMARY CARE MEDICAL GROUP, INC
NPI 1902038573
Internal Medicine - Cardiovascular Disease in Ukiah, CA

Q: What is Ukiah Valley Primary Care Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Active since August 17, 2009

240 HOSPITAL DR STE A, UKIAH, CA 95482(707) 463-8000(707) 463-8006 Get Directions Write a Review

NPPES record last updated: August 17, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Ukiah Valley Primary Care Medical Group, Inc NPPES

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

UKIAH VALLEY PRIMARY CARE MEDICAL GROUP, INC (NPI 1902038573) is a healthcare organization registered as a cardiovascular disease in Ukiah, California and active in the NPI registry since August 2009. The organization lists Darcie Anne Antle, Administrator, as its authorized official.

NPPES Registry Identity

NPI1902038573

Entity TypeOrganization

Primary Taxonomy207RC0000X

Legal Business NameUKIAH VALLEY PRIMARY CARE MEDICAL GROUP, INC

Location Address240 HOSPITAL DR STE AUkiah, CA 95482-4558

Mailing AddressPo Box 2739Ukiah, CA 95482-2739 · (707) 463-8000 · Fax (707) 463-8006

Phone(707) 463-8000

Fax(707) 463-8006

Organization SubpartNo

Authorized OfficialDarcie Anne AntleAdministrator · (707) 463-8000

Enumeration DateAugust 17, 2009

✔ NPI 1902038573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in CA · A43219

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

240 HOSPITAL DR STE A, Ukiah, CA 95482

Open in Google Maps ↗

Other Identifiers 3

Medicaid00A432190CA

Medicare UPINB55811CA

Medicaid1609874445CA

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

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 Ukiah Valley Primary Care Medical Group, Inc's NPI number?

The NPI number for Ukiah Valley Primary Care Medical Group, Inc is 1902038573. It was assigned to this organization in the NPPES registry on August 17, 2009.

Where is Ukiah Valley Primary Care Medical Group, Inc located?

Ukiah Valley Primary Care Medical Group, Inc is located at 240 Hospital Dr Ste A, Ukiah, CA 95482. The listed phone number is (707) 463-8000.

What is Ukiah Valley Primary Care Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Ukiah Valley Primary Care Medical Group, Inc was last updated on August 17, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.