Clinica Medica del Valle, Inc.
NPI 1790921641ActiveOrganization· Surgery, Pediatric Surgery· Coachella, CA
Surgery, Pediatric Surgery in Coachella, California, registered in NPPES in December 2008. The authorized official on file is Juan M. Acosta, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790921641 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 24, 2008 |
| Last updated in NPPES | Dec 24, 2008 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Pediatric Surgery Primary | 2086S0120X | A66595 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|