NPIMap

Organization Active NPI

Central Valley Pediatrics , Inc

Doing business as Central Valley Pediatrics.

  • Pediatrics Physician
  • Fresno, CA
National Provider Identifier
1003992710
Registry record updated Jan 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G66119 Issued in CA
Legal business name
CENTRAL VALLEY PEDIATRICS , INC
Doing business as
Central Valley Pediatrics.
Practice address
7011 N Howard St
Suite 106
Fresno, CA 93720-2955
Phone
(559) 431-6600
Fax
(559) 431-6106
NPI assigned
Oct 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Raymond Canuto Miranda, M.D.NPI 1497797112
Title
President/Ceo
Phone
(559) 431-6600

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X G66119 CA Primary

Addresses

Primary practice location

7011 N Howard St
Suite 106
Fresno, CA 93720-2955

Mailing address

7011 N Howard St
Suite 106
Fresno, CA 93720-2955
Phone (559) 431-6600

Other identifiers 1

IdentifierTypeStateIssuer
00G661190MedicaidCA

Other names 1

  • CENTRAL VALLEY PEDIATRICS. Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1326672000000",
    "number": "1003992710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 N HOWARD ST",
            "address_2": "SUITE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202955",
            "telephone_number": "559-431-6600",
            "fax_number": "559-431-6106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 N HOWARD ST",
            "address_2": "SUITE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202955",
            "telephone_number": "559-431-6600",
            "fax_number": "559-431-6106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY PEDIATRICS , INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2012-01-16",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "CANUTO",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "559-431-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G66119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G661190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL VALLEY PEDIATRICS.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.