SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF PHYSIATRY NPI 1316128796

NPI Information

  • NPI: 1316128796
  • Provider Name: SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF PHYSIATRY
  • Classification: Physical Medicine & Rehabilitation - 2081P0010X
  • Specialization: Pediatric Rehabilitation Medicine
  • Entity Type: Organization
  • Address: 9300 VALLEY CHILDRENS PL
    MADERA, CA
    ZIP 93636
  • Phone: (559) 353-5700

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NPI Details

SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF PHYSIATRY is a pediatric rehabilitation medicine physical medicine rehabilitation in Madera, CA. The provider is a physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care. SPECIALTY MEDICAL GROUP CENTRAL CALIFORNIA - DEPT OF PHYSIATRY NPI is 1316128796. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

9300 VALLEY CHILDRENS PL
MADERA, CA
ZIP 93636-761
Phone: (559) 353-5700
Fax: (559) 353-5708

The provider's authorized official is Ralph P. Diaz .
The authorized official title is President And Medical Director and has the following contact phone number (559) 353-5016.

The enumeration date for this NPI number is 11/14/2007 and was last updated on 11/14/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12081P0010XPhysical Medicine & RehabilitationPediatric Rehabilitation MedicineCALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1GR007868HMEDICAIDCALIFORNIA
2ZZZ13884ZMEDICARE PINCALIFORNIA

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: 3/30/2025

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