Provider Demographics
NPI:1588697122
Name:VALLEY MEDICAL CONSULTANTS, INC.
Entity type:Organization
Organization Name:VALLEY MEDICAL CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PADMA
Authorized Official - Middle Name:
Authorized Official - Last Name:YARLAGADDA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-223-7474
Mailing Address - Street 1:200 JOSE FIGUERES AVE STE 255
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95116-1589
Mailing Address - Country:US
Mailing Address - Phone:408-223-7474
Mailing Address - Fax:408-223-9339
Practice Address - Street 1:200 JOSE FIGUERES AVE
Practice Address - Street 2:SUITE 255
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1500
Practice Address - Country:US
Practice Address - Phone:408-223-7474
Practice Address - Fax:408-223-9339
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-08
Last Update Date:2019-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ27148ZMedicare ID - Type UnspecifiedMEDICARE GROUP #