| Valley Perinatal & Genetics Diagnostic Center Medical Group, Inc. | |
|
1617 N California St Ste 2d Stockton CA 95204-6117 | |
| (209) 933-9888 | |
| (209) 933-9988 |
| Full Name | Valley Perinatal & Genetics Diagnostic Center Medical Group, Inc. |
|---|---|
| Speciality | Obstetrics & Gynecology |
| Location | 1617 N California St Ste 2d, Stockton, California |
| Authorized Official Name and Position | Jasbir Gill (PRESIDENT) |
| Authorized Official Contact | 2093346583 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valley Perinatal & Genetics Diagnostic Center Medical Group, Inc. P.o. Box 967 Lodi CA 95241-0967 Ph: (209) 334-1800 | Valley Perinatal & Genetics Diagnostic Center Medical Group, Inc. 1617 N California St Ste 2d Stockton CA 95204-6117 Ph: (209) 933-9888 |
| NPI Number | 1265768980 |
|---|---|
| Provider Enumeration Date | 10/30/2009 |
| Last Update Date | 03/25/2025 |
| Medicare PECOS PAC ID | 7719014604 |
|---|---|
| Medicare Enrollment ID | O20100426000109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265768980 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
| 207VM0101X | Obstetrics & Gynecology - Maternal & Fetal Medicine | G46081 (California) | Primary |
| Provider Name | Cheryl A Albuquerque |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1093863938 PECOS PAC ID: 0244291458 Enrollment ID: I20041021000336 |
| Provider Name | Anil Khosla |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1679590319 PECOS PAC ID: 0042119943 Enrollment ID: I20070926001056 |
| Provider Name | C A Combs |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134181480 PECOS PAC ID: 9638220684 Enrollment ID: I20090702000213 |
| Provider Name | Andrew Chao |
|---|---|
| Provider Type | Practitioner - Other (physician) |
| Provider Identifiers | NPI Number: 1972578896 PECOS PAC ID: 6608921747 Enrollment ID: I20090826000216 |
| Provider Name | Stacy Yadava |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1154689677 PECOS PAC ID: 7214202985 Enrollment ID: I20200107001487 |
| Provider Name | Luckey Connor Reed |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1467696963 PECOS PAC ID: 2163653601 Enrollment ID: I20220131001815 |
| Provider Name | Eric Hodgson |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1689891673 PECOS PAC ID: 0547353666 Enrollment ID: I20250114001809 |
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