MEDICARE: VALLEY HEALTH TEAM INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	101Y00000X	Counselor
2	122300000X	Dentist
3	133V00000X	Registered Dietitian
4	152W00000X	Optometrist
5	207Q00000X	Family Medicine Physician
6	208000000X	Pediatrics Physician
7	247100000X	Radiologic Technologist
8	363A00000X	Physician Assistant
9	104100000X	Social Worker

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1578623963
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY HEALTH TEAM INC

Provider Business Mailing Address
First Line	:	PO BOX 737
Second Line	:	21890 COLORADO AVENUE
City	:	SAN JOAQUIN
State	:	CA
Zip	:	93660-0737
Country	:	US
Telephone Number	:	559-693-2462
Fax Number	:	559-693-4382

Provider Business Practice Location Address
First Line	:	21890 COLORADO AVENUE
Second Line	:
City	:	SAN JOAQUIN
State	:	CA
Zip	:	93660-0737
Country	:	US
Telephone Number	:	559-693-2462
Fax Number	:	559-693-4382

Authorized Official
Title or Position	:	CEO
Name	:	MS. SYLVIA G DISNEY
Credential	:	PHD
Telephone Number	:	559-693-2462

Provider Enumeration Date	:	12/08/2006
Last Update Date	:	09/11/2025

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Directions to “VALLEY HEALTH TEAM INC ” Practice Location

Language	Start Address	Practice Location

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