Organization Active NPI

Valley Women'S Healthcare Medical Group, Inc

  • Obstetrics & Gynecology Physician
  • Fresno, CA
National Provider Identifier
1154873230
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
VALLEY WOMEN'S HEALTHCARE MEDICAL GROUP, INC
Practice address
5293 N 1St St
Fresno, CA 93710-7007
Phone
(559) 244-0133
Fax
(559) 477-4584
NPI assigned
Oct 25, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Deanna Friedline
Title
Billing Director
Phone
(559) 860-0822

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X Primary

Addresses

Primary practice location

5293 N 1St St
Fresno, CA 93710-7007

Mailing address

PO Box 27890
Fresno, CA 93729-7890
Phone (559) 244-0133

Other practice location 1

650 W Alluvial Ave
Fresno, CA 93711-5507
Phone (559) 438-1777

Other practice location 2

9483 N Fort Washington Rd Ste 101
Fresno, CA 93730-5938
Phone (559) 797-9797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170203002642 CA Part B Supplier - Clinic/Group Practice 4981987559 Receives reassigned benefits from 4 practitioners
Practice locations: Fresno, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2135705Valley Women'S Healthcare Medical Group Inc5293 N First Street, Fresno, CA 93710Certificate of waiverAug 24, 2027
05D2135706Valley Women'S Healthcare Medical Group Inc9483 N Fort Washington Ste 101, Fresno, CA 93730Certificate of waiverAug 24, 2027
05D2135708Valley Women'S Healthcare650 W Alluvial Suite 101, Fresno, CA 93711Certificate of waiverAug 24, 2027

National Provider Directory

National Provider Directory

Locations

255 E River Park Cir
Ste 240
Fresno, CA 93720

Practitioners & affiliated clinicians

Practitioners 7

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": "1477353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1154873230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27890",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937297890",
            "telephone_number": "559-244-0133",
            "fax_number": "559-477-4584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5293 N 1ST ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107007",
            "telephone_number": "559-244-0133",
            "fax_number": "559-477-4584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 W Alluvial Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937115507",
            "country_code": "US",
            "telephone_number": "559-438-1777",
            "fax_number": "559-432-4533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9483 N Fort Washington Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937305938",
            "country_code": "US",
            "telephone_number": "559-797-9797",
            "fax_number": "559-439-3936",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VALLEY WOMEN'S HEALTHCARE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-25",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "FRIEDLINE",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "BILLING DIRECTOR",
        "authorized_official_telephone_number": "559-860-0822"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "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 Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.