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CENTRAL VALLEY PEDIATRICS INC NPI 1003992710


NPI Information

NPI: 1003992710
Provider Name: CENTRAL VALLEY PEDIATRICS , INC

Doing Business As: CENTRAL VALLEY PEDIATRICS.

Classification: Pediatrics - 208000000X
Entity Type: Organization

CLIA Number: 05D0995686

Address:
7011 N HOWARD ST
SUITE 106
FRESNO, CA
ZIP 93720
Phone: (559) 431-6600
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CENTRAL VALLEY PEDIATRICS , INC is a pediatrics in Fresno, CA. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. CENTRAL VALLEY PEDIATRICS , INC NPI is 1003992710. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Central Valley Pediatrics..

The provider's business location address is:

7011 N HOWARD ST
SUITE 106
FRESNO, CA
ZIP 93720-955
Phone: (559) 431-6600
Fax: (559) 431-6106

The provider's authorized official is Raymond Canuto Miranda .
The authorized official title is President/ceo and has the following contact phone number (559) 431-6600.

The CLIA number assigned to this NPI record is 05D0995686 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/27/2006 and was last updated on 1/16/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatricsG66119CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F24839MEDICARE UPINCALIFORNIA
200G661190MEDICAIDCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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