Active NPI
Health Valley Medical Group Inc
- Family Medicine Physician
- Lemoore, CA
National Provider Identifier
1114028610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- RHM53846F
- Legal business name
- HEALTH VALLEY MEDICAL GROUP INC
- Practice address
- 812 E D St
Lemoore, CA 93245-9545 - Phone
- (559) 925-1000
- Fax
- (559) 925-1084
- NPI assigned
- Sep 26, 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
- Ruben S Thorbus, M.D
- Title
- Owner /Ceo
- Phone
- (559) 925-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | RHM53846F | CA | Primary |
Addresses
Primary practice location
812 E D St
Lemoore, CA 93245-9545
Mailing address
812 E D St
Lemoore, CA 93245-9545
Phone (559) 925-1000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ00576Z | Other | CA | BLUE SHIELD OF CA |
| ZZZ00576Z | Other | CA | BLUE CROSS OF CALIFORNIA |
| ZZZ00576Z | Other | CA | MEDICARE NHIC |
| RHM53846F | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Rural health clinic certification: CCN 553846
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- HEALTH VALLEY MEDICAL GROUP INC
- Certification status
- Active
- Provider type (POS)
- Rural health clinic
- Participating since
- Jul 12, 1995
- Last certification
- Jul 12, 1995
- Ownership / control type
- 1B
- Facility address
- 812 East D Street
Lemoore, CA 93245
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Lemoore, CA
- NPI 1568469138
-
- Internal Medicine Physician
- San Francisco, CA
- NPI 1275611808
-
- Family Nurse Practitioner
- Lemoore, CA
- NPI 1407834252
-
- Internal Medicine Physician
- El Centro, CA
- NPI 1033329792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1254873600000",
"number": "1114028610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 E D ST",
"city": "LEMOORE",
"state": "CA",
"postal_code": "932459545",
"telephone_number": "559-925-1000",
"fax_number": "559-925-1084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 E D ST",
"city": "LEMOORE",
"state": "CA",
"postal_code": "932459545",
"telephone_number": "559-925-1000",
"fax_number": "559-925-1084"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALTH VALLEY MEDICAL GROUP INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2009-10-07",
"status": "A",
"authorized_official_last_name": "THORBUS",
"authorized_official_first_name": "RUBEN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "OWNER /CEO",
"authorized_official_telephone_number": "559-925-1000",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "RHM53846F",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CA",
"identifier": "ZZZ00576Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF CALIFORNIA",
"identifier": "ZZZ00576Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE NHIC",
"identifier": "ZZZ00576Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RHM53846F",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lemoore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.