Healthcare Provider Details

I. General information

NPI: 1588697122
Provider Name (Legal Business Name): VALLEY MEDICAL CONSULTANTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/08/2006
Last Update Date: 10/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 JOSE FIGUERES AVE SUITE 255
SAN JOSE CA
95116-1500
US

IV. Provider business mailing address

200 JOSE FIGUERES AVE STE 255
SAN JOSE CA
95116-1589
US

V. Phone/Fax

Practice location:
  • Phone: 408-223-7474
  • Fax: 408-223-9339
Mailing address:
  • Phone: 408-223-7474
  • Fax: 408-223-9339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. PADMA YARLAGADDA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 408-223-7474