Organization Active NPI

Central Valley Pulmonary Diagnostics, LLC

  • Physiological Laboratory
  • Fresno, CA
National Provider Identifier
1073835856
Registry record updated May 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
License
RCP5561 Issued in CA
Legal business name
CENTRAL VALLEY PULMONARY DIAGNOSTICS, LLC
Practice address
7210 N Milburn Ave
Suite 105
Fresno, CA 93722-8448
Phone
(559) 451-3460
Fax
(559) 341-3462
NPI assigned
Feb 22, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2013

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

Authorized official

Name
Jerry O Espejo, RCP
Title
Managing Officer
Phone
(510) 717-7601

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X RCP5561 CA Primary

Addresses

Primary practice location

7210 N Milburn Ave
Suite 105
Fresno, CA 93722-8448

Mailing address

7210 N Milburn Ave
Suite 105
Fresno, CA 93722-8448
Phone (559) 451-3460

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1266796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368144000000",
    "number": "1073835856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 N MILBURN AVE",
            "address_2": "SUITE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228448",
            "telephone_number": "559-451-3460",
            "fax_number": "559-341-3462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 N MILBURN AVE",
            "address_2": "SUITE 105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937228448",
            "telephone_number": "559-451-3460",
            "fax_number": "559-341-3462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY PULMONARY DIAGNOSTICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-22",
        "last_updated": "2013-05-10",
        "status": "A",
        "authorized_official_last_name": "ESPEJO",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "MANAGING OFFICER",
        "authorized_official_telephone_number": "510-717-7601",
        "authorized_official_credential": "RCP"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "CA",
            "license": "RCP5561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 10, 2013; 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.