Valley Rehab Medical Group

Primary specialty

Legal MedicineTaxonomy code 173000000X

Legal business name

VALLEY REHAB MEDICAL GROUP

Practice address

1805 E Fir Ave
Suite 102
Fresno, CA 93720-3859

Phone

(559) 325-3070

Fax

(559) 325-3073

NPI assigned

Aug 1, 2008

Last updated

Aug 1, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Deborah Dzakowic

Title

Group Administrator

Phone

(559) 325-3070

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1194981894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1805 E FIR AVE",
            "address_2": "SUITE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203859",
            "telephone_number": "559-325-3070",
            "fax_number": "559-325-3073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 E FIR AVE",
            "address_2": "SUITE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203859",
            "telephone_number": "559-325-3070",
            "fax_number": "559-325-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY REHAB MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "DZAKOWIC",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "GROUP ADMINISTRATOR",
        "authorized_official_telephone_number": "559-325-3070",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Psychological Well Being Services Inc
• Valley Regional Anesthesia Associates Inc
• Valley Regional Home Health, Inc.
• Valley Regional Hospice, Inc.
• Valley Regional Sleep Disorders Center Inc
• Valley Sleep and Wellness Center
• Valley Sleep Diagnostics Inc.,
• Valley Sleep Specialists, Inc.
• Valley Surgical Specialists Medical GRP Inc
• Valley Teen Ranch

• Legal Medicine in Fresno, CA
• Providers in Fresno, CA by specialty
• Legal Medicine in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; 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.