Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ukiah Valley Primary Care Medical Group, Inc

Organization Cardiovascular Disease Physician · NPI 1902038573

Ukiah Valley Primary Care Medical Group, Inc provides Cardiovascular Disease Physician services in Ukiah, California. Licensed in California. Registered with an NPI since 2009.

Licensed in
CA
In the registry since
2009
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

240 Hospital Dr Ste A
Ukiah, CA 95482-4558 Not confirmed with CMS for 17 years — call before visiting
Phone: (707) 463-8000
Fax: (707) 463-8006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence A43219 (CA)

Record details

NPI number1902038573
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Darcie Antle — Administrator · (707) 463-8000
NPI enumeratedAugust 17, 2009
Last updated in NPPESAugust 17, 2009
Mailing addressPo Box 2739, Ukiah, CA 95482-2739

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