Healthcare Provider Details

I. General information

NPI: 1457549685
Provider Name (Legal Business Name): MOHAMMAD VALIKHANI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/12/2007
Last Update Date: 05/02/2025
Certification Date: 05/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28212 KELLY JOHNSON PKWY STE 200
VALENCIA CA
91355-5090
US

IV. Provider business mailing address

812 ALMARIDA DR
CAMPBELL CA
95008-0102
US

V. Phone/Fax

Practice location:
  • Phone: 408-259-5000
  • Fax:
Mailing address:
  • Phone: 571-215-0532
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberA119639
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA119639
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: