Active NPI
Valley Women'S Healthcare Medical Group, Inc
- Obstetrics & Gynecology Physician
- Fresno, CA
National Provider Identifier
1154873230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 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
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2135705 | Valley Women'S Healthcare Medical Group Inc | Certificate of waiver | Aug 24, 2027 |
| 05D2135706 | Valley Women'S Healthcare Medical Group Inc | Certificate of waiver | Aug 24, 2027 |
| 05D2135708 | Valley Women'S Healthcare | Certificate of waiver | Aug 24, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Gynecology Physician
- Fresno, CA
- NPI 1457352866
-
- Gynecology Physician
- Fresno, CA
- NPI 1104827922
-
- Obstetrics & Gynecology Physician
- Fresno, CA
- NPI 1487615449
-
- Obstetrics & Gynecology Physician
- Fresno, CA
- NPI 1285736058
-
- Family Nurse Practitioner
- Fresno, CA
- NPI 1417423856
-
- Primary Care Nurse Practitioner
- Santa Ana, CA
- NPI 1427035344
-
- Ambulatory Women's Health Care Registered Nurse
- Fresno, CA
- NPI 1316925035
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.