{"npi":"1780779736","type":"NPI-2","status":"active","name":{"display":"Valley Orthopedic Associates Medical Group, Inc.","other":[],"organization_name":"VALLEY ORTHOPEDIC ASSOCIATES MEDICAL GROUP, INC.","authorised_official":"Tony Bouz"},"specialty":{"primary_taxonomy":"207X00000X","primary_taxonomy_description":"Orthopaedic Surgery","slug":"orthopedic-surgery","schema_org_specialty":"PlasticSurgery","all":[{"code":"207XX0005X","description":"Orthopaedic Sports Medicine","primary":false,"state":null,"license":null},{"code":"207X00000X","description":"Orthopaedic Surgery","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"627 E FOOTHILL BLVD","city":"SAN DIMAS","state":"CA","postal_code":"917731208","country_code":"US","phone":"9095990881","fax":"9093940701"},{"purpose":"MAILING","street_1":"627 E FOOTHILL BLVD","city":"SAN DIMAS","state":"CA","postal_code":"917731208","country_code":"US","phone":"9095990881","fax":"9093940701"}],"license":null,"identifiers":[{"type_code":"05","label":"Medicaid","value":"00A332620","state":"CA","issuer":null}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"O20050126000689","type_code":"12-70","type_desc":"PART B SUPPLIER - CLINIC/GROUP PRACTICE","state":"CA","pac_id":"2961452032"},{"enrlmt_id":"O20240814000701","type_code":"30-20","type_desc":"DME SUPPLIER - PHYSICIAN - ORTHOPEDIC/ORTHOPEDIC SURGERY","state":"CA","pac_id":"2961452032"}]},"enumeration_date":"2006-10-04","last_updated":"2025-02-24","_meta":{"source":"NPPES","snapshot_date":"2025-02-24","doc_url":"https://findmynpi.com/api"}}