Active NPI
Valley Nuclear Medical Group
- Nuclear Imaging & Therapy Physician
- Fresno, CA
National Provider Identifier
1023068798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Imaging & Therapy Physician
- Legal business name
- VALLEY NUCLEAR MEDICAL GROUP
- Practice address
- 1303 E Herndon Ave
Fresno, CA 93720-3309 - Phone
- (559) 449-3109
- NPI assigned
- May 11, 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. Mark Bernard, MD
- Title
- President
- Phone
- (559) 449-3109
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Imaging & Therapy Physician | 207UN0902X | Primary |
Addresses
Primary practice location
1303 E Herndon Ave
Fresno, CA 93720-3309
Mailing address
PO Box 6102
Novato, CA 94948-6102
Phone (415) 884-3404
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0069140 | Medicaid | CA | |
| CC9085 | Other | RAILROAD MEDICARE PIN |
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 Imaging & Therapy Physician
- Fresno, CA
- NPI 1912944232
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147305600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222732800000",
"number": "1023068798",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1303 E HERNDON AVE",
"city": "FRESNO",
"state": "CA",
"postal_code": "937203309",
"telephone_number": "559-449-3109"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY NUCLEAR MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-11",
"last_updated": "2008-09-30",
"status": "A",
"authorized_official_last_name": "BERNARD",
"authorized_official_first_name": "MARK",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "559-449-3109",
"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": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0069140",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PIN",
"identifier": "CC9085",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
- Valley Medical Systems, Inc.
- Valley Memory and Neuropsychology Center, a Psychological Corporation
- Valley Metabolic Imaging LLC
- Valley Natural Health, a Naturopathic Corporation
- Valley Nephrology Medical Group
- Valley Oak Oral Surgery and Dental Implant Group
- Valley Orthopedic Inc
- Valley Orthopedic Inc
- Valley Osteopathic Holistic Health Inc
- Valley Pace LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.