NPIMap

Organization Active NPI

Health Valley Medical Group Inc

  • Family Medicine Physician
  • Lemoore, CA
National Provider Identifier
1114028610
Registry record updated Oct 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
RHM53846F Issued in CA
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
Last updated
Oct 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2009

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

Authorized official

Name
Ruben S Thorbus, M.DNPI 1568542470
Title
Owner /Ceo
Phone
(559) 925-1000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1114028610. Details of each certification follow.

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 Directory

Locations

812 E D St
Lemoore, CA 93245
Phone (555) 925-1000

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lemoore, CA

Sources for this page

Verify at the official NPI Registry.