| Vinod K Valiveti M D Inc | |
|
187 E Wilbur Rd Ste 101 Thousand Oaks CA 91360-7925 | |
| (805) 278-0720 | |
| (805) 988-4482 |
| Full Name | Vinod K Valiveti M D Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 187 E Wilbur Rd Ste 101, Thousand Oaks, California |
| Authorized Official Name and Position | Vinod K Valiveti (PRESIDENT) |
| Authorized Official Contact | 8052780720 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vinod K Valiveti M D Inc Po Box 5062 Oxnard CA 93031-5062 Ph: (805) 278-0720 | Vinod K Valiveti M D Inc 187 E Wilbur Rd Ste 101 Thousand Oaks CA 91360-7925 Ph: (805) 278-0720 |
| NPI Number | 1245263664 |
|---|---|
| Provider Enumeration Date | 07/09/2006 |
| Last Update Date | 07/22/2026 |
| Certification Date | 07/22/2026 |
| Medicare PECOS PAC ID | 2860672656 |
|---|---|
| Medicare Enrollment ID | O20110210001143 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245263664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | A73845 (California) | Primary |
| Provider Name | Elvin M Park |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285665778 PECOS PAC ID: 6103862073 Enrollment ID: I20050630000462 |
| Provider Name | Vinod K Valiveti |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598714107 PECOS PAC ID: 4789689035 Enrollment ID: I20060920000449 |
| Provider Name | Jocelyn Iliana Herrera |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1497421176 PECOS PAC ID: 1254712284 Enrollment ID: I20220721001529 |
| Provider Name | Elvie Victoria Mendoza Calderon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295462265 PECOS PAC ID: 9537542600 Enrollment ID: I20220823001312 |
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