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CENTRAL VALLEY MEDICAL SUPPLY NPI 1457500456


NPI Information

NPI: 1457500456
Provider Name: CENTRAL VALLEY MEDICAL SUPPLY
Classification: Durable Medical Equipment & Medical Supplies - 332B00000X
Entity Type: Organization

CLIA Number: 05D2070465

Address:
245 W PACHECO BLVD
SUITE C
LOS BANOS, CA
ZIP 93635
Phone: (209) 826-4810
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CENTRAL VALLEY MEDICAL SUPPLY is a durable medical equipment medical supplies in Los Banos, CA. The provider is a supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time. CENTRAL VALLEY MEDICAL SUPPLY NPI is 1457500456. The provider is registered as an organization entity type.

The provider's business location address is:

245 W PACHECO BLVD
SUITE C
LOS BANOS, CA
ZIP 93635-067
Phone: (209) 826-4810
Fax: (209) 826-7376

The provider's authorized official is Anthony Saul Caldera .
The authorized official title is Partner and has the following contact phone number (209) 826-4810.

The CLIA number assigned to this NPI record is 05D2070465 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/15/2008 and was last updated on 9/15/2008.


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
1332B00000XDurable Medical Equipment & Medical SuppliesYes

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: 4/28/2024

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