DR. VALY BOULOM (NPI# 1174785232) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174785232 |
| Entity Type | Individual |
| Full Name | DR. VALY BOULOM |
| Credential | M.D. |
| Practice Address |
18525 Sutter Blvd Ste 140 Morgan Hill CA 95037-2883 |
| Practice Telephone | 4083339580 |
| Practice Fax Number | 4086635222 |
| Mailing Telephone | 4083339580 |
| Mailing Fax Number | 4086635222 |
| Enumeration Date | 2008-06-30 |
| Last Update Date | 2020-02-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | P22886 | MD | Allopathic & Osteopathic Physicians |
| Y | 2086S0129X |
Surgery Specialization: Vascular Surgery |
130020 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
18525 SUTTER BLVD STE 140 |
| City | MORGAN HILL |
| State | CA |
| Zip Code | 95037-2883 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194281550 | Matrix Rehabilitation, Inc. | Clinic/Center | 15585 Monterey Rd Ste D, Morgan Hill, CA 95037 | 2019-02-11 |
| 1346715646 | Nicholas Egger Licensed Clinical Social Worker Inc. | Social Worker | 17760 Monterey St Ste A5, Morgan Hill, CA 95037 | 2018-10-12 |
| 1871011148 | Lisa Jane Call | Marriage & Family Therapist | 16275 Monterey Road, Suite C, Morgan Hill, CA 95037 | 2017-09-06 |
| 1255873725 | Duy Nguyen | Technician/Technologist | 15700 Monterey Rd Ste 100, Morgan Hill, CA 95037 | 2016-11-15 |
| 1265986590 | Carmen Wah | Pharmacist | 100 Tennant Ave, Morgan Hill, CA 95037 | 2016-08-03 |
| 1609241314 | Shyh-shiaw Kuo | Marriage & Family Therapist | 16275 Monterey Road Suite C, Morgan Hill, CA 95037 | 2015-12-07 |
| 1780054353 | Oscar Fernandez | Case Manager/Care Coordinator | 19300 Quinn Ct, Morgan Hill, CA 95037 | 2015-09-25 |
| 1194114272 | Krystle Teneyuque | Counselor | 18217 Hale Avenue, Morgan Hill, CA 95037 | 2015-01-13 |
| 1720486715 | Vila Monte | Assisted Living Facility | 17090 Peak Ave, Morgan Hill, CA 95037 | 2014-12-08 |
| 1689083081 | Bridget Leblanc | Pharmacist | 100 Tennant Ave., Morgan Hill, CA 95037 | 2014-08-11 |
| Find all providers in zip 95037 | ||||
| Taxonomy Code | 2086S0129X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Vascular Surgery |
| A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881213817 | Robert Morton Carroll X | Surgery | 2241 Century Hl, Los Angeles, CA 90067-3506 | 2020-04-09 |
| 1992341895 | Surgicalist of Ca PC | Surgery | 3300 E South St Ste 301a, Lakewood, CA 90805-4549 | 2019-11-26 |
| 1528600558 | Kevin M Casey Md Apmc | Surgery | 1919 State St # 204-206, Santa Barbara, CA 93101-2430 | 2019-10-10 |
| 1487117594 | John Nastasi | Surgery | 100 W Valencia Mesa Dr # 211, Fullerton, CA 92835-3768 | 2019-04-08 |
| 1225508385 | Jay Labourene | Surgery | 1550 G Tiburon Blvd, Tiburon, CA 94920-2531 | 2018-12-03 |
| 1467922120 | Paul Bressman Md Inc | Surgery | 1493 S Crest Dr, Los Angeles, CA 90035-3339 | 2018-11-26 |
| 1437638517 | Thousand Oaks Vein Clinic PC | Surgery | 225 N Moorpark Rd Ste C, Thousand Oaks, CA 91360-4320 | 2018-08-09 |
| 1881186377 | Lavs Access Center Inc. | Surgery | 620 W Beverly Blvd Ste B, Montebello, CA 90640-3624 | 2018-05-31 |
| 1841789328 | Sunil Rayan, M.d., Inc. | Surgery | 320 Santa Fe Dr Ste 212, Encinitas, CA 92024-5139 | 2018-05-09 |
| 1245739820 | Northridge Vascular Center A Professional Medical Corporation | Surgery | 19331 Business Center Dr Ste 102, Northridge, CA 91324-3533 | 2018-02-08 |
| Find all providers with the same taxonomy | ||||
| City | MORGAN HILL |
| Zip Code | 95037 |
Please comment or provide details below to improve the information on DR. VALY BOULOM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.