Active NPI
Valley Medical Supplies Inc.
- Durable Medical Equipment & Medical Supplies
- Fresno, CA
National Provider Identifier
1114501715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487634317 | Medicaid | CA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Direct |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Durable Medical Equipment & Medical Supplies
- Fresno, CA
- NPI 1417204595
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
- Valley Kidney Medical Group Inc
- Valley Medical Pharmacy
- Valley Medical Pharmacy
- Valley Medical Plaza Ambulatory
- Valley Medical Supplies
- Valley Medical Systems, Inc.
- Valley Medical Systems, Inc.
- Valley Memory and Neuropsychology Center, a Psychological Corporation
- Valley Metabolic Imaging LLC
- Valley Natural Health, a Naturopathic Corporation
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.