Provider Demographics
NPI:1104861012
Name:VALLEY MEDICAL ONCOLOGY CONSULTANTS
Entity Type:Organization
Organization Name:VALLEY MEDICAL ONCOLOGY CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:RISHI
Authorized Official - Middle Name:
Authorized Official - Last Name:SAWHNEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:925-734-8130
Mailing Address - Street 1:5725 W. LAS POSITAS BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:PLEASANTON
Mailing Address - State:CA
Mailing Address - Zip Code:94588
Mailing Address - Country:US
Mailing Address - Phone:925-734-8130
Mailing Address - Fax:925-225-9520
Practice Address - Street 1:5725 W. LAS POSITAS BLVD.
Practice Address - Street 2:SUITE 100
Practice Address - City:PLEASANTON
Practice Address - State:CA
Practice Address - Zip Code:94588
Practice Address - Country:US
Practice Address - Phone:925-734-8130
Practice Address - Fax:925-225-9520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-17
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207RX0202X
CAG17444207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAGR0057741Medicaid
CAGR0057740Medicaid
CALAB95789FMedicaid
CAGR0047742Medicaid
CA0745290001Medicare NSC
ZZZ34390ZMedicare UPIN
CAGR0057740Medicaid
CAGR0057741Medicaid
CALAB95789FMedicaid
ZZZ34390ZMedicare PIN