Organization Active NPI

Valley Medical Supplies Inc.

  • Durable Medical Equipment & Medical Supplies
  • Fresno, CA
National Provider Identifier
1114501715
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
VALLEY MEDICAL SUPPLIES INC.
Practice address
5627 N Figarden Dr Ste 118
Fresno, CA 93722-3498
Phone
(559) 284-1227
NPI assigned
May 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Authorized official

Name
Ty Kachadoorian
Title
Manager
Phone
(559) 801-5844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

5627 N Figarden Dr Ste 118
Fresno, CA 93722-3498

Mailing address

5627 N Figarden Dr Ste 118
Fresno, CA 93722-3498
Phone (559) 284-1227

Other practice location 1

5627 N Figarden Dr Ste 118
Fresno, CA 93722-3498
Phone (559) 284-1227

Other identifiers 1

IdentifierTypeStateIssuer
1487634317MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL email Direct

National Provider Directory

National Provider Directory

Locations

5627 N Figarden Dr
Ste 118
Fresno, CA 93722
Phone (559) 284-1227

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620604800000",
    "number": "1114501715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5627 N FIGARDEN DR STE 118",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937223498",
            "telephone_number": "559-284-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5627 N FIGARDEN DR STE 118",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937223498",
            "telephone_number": "559-284-1227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5627 N Figarden Dr Ste 118",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937223498",
            "country_code": "US",
            "telephone_number": "559-284-1227",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALLEY MEDICAL SUPPLIES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-10",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A",
        "authorized_official_last_name": "KACHADOORIAN",
        "authorized_official_first_name": "TY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "559-801-5844"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1487634317",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "email",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "text",
            "address_1": "5627 N Figarden Dr Ste 118",
            "city": "Fresno",
            "state": "CA",
            "country_code": "US",
            "postal_code": "937223498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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, 2021; 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.