Active NPI
Valley Nuclear Medical Group Inc.
- Nuclear Imaging & Therapy Physician
- Madera, CA
National Provider Identifier
1013961721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Imaging & Therapy Physician
- Legal business name
- VALLEY NUCLEAR MEDICAL GROUP INC.
- Practice address
- 1250 E Almond Ave
Madera, CA 93637-5606 - Phone
- (559) 675-5555
- Fax
- (559) 675-5591
- NPI assigned
- May 19, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Patrick, MD
- Title
- President
- Phone
- (559) 675-5555
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Imaging & Therapy Physician | 207UN0902X | Primary |
Addresses
Primary practice location
1250 E Almond Ave
Madera, CA 93637-5606
Mailing address
PO Box 6102
Novato, CA 94948-6102
Phone (415) 884-3404
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CC9085 | Other | RAILROAD MEDICARE PIN | |
| GR0069141 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Nuclear Medicine Physician
- Fresno, CA
- NPI 1780635508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1245628800000",
"number": "1013961721",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6102",
"city": "NOVATO",
"state": "CA",
"postal_code": "949486102",
"telephone_number": "415-884-3404",
"fax_number": "415-883-1836"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1250 E ALMOND AVE",
"city": "MADERA",
"state": "CA",
"postal_code": "936375606",
"telephone_number": "559-675-5555",
"fax_number": "559-675-5591"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY NUCLEAR MEDICAL GROUP INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-19",
"last_updated": "2009-06-22",
"status": "A",
"authorized_official_last_name": "PATRICK",
"authorized_official_first_name": "DANIEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "559-675-5555",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207UN0902X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "CC9085",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0069141",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Madera, CA
- Valley Children's Specialty Medical Group - Pulmonology
- Valley Children's Specialty Medical Group, Inc.
- Valley Dental Network (Shields dental, Del Mar Dental, Nunez Yosemite Dental, Durfee Dental C)
- Valley Gastro Specialists
- Valley Mountain Homehealth Inc
- Valley Pediatric Pulmonary Medical Corp.
- Valley Teen Ranch
- Valley Teen Ranch
- Valley's Therapy Placement Agency, LLC
- Kristin Van Horn
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.