NPIMap

Organization Active NPI

Valley Children'S Hospital

  • Home Infusion Therapy Pharmacy
  • Fresno, CA
National Provider Identifier
1275612673
Registry record updated Jan 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Infusion Therapy PharmacyTaxonomy code 3336H0001X
License
PHY44810 Issued in CA
Legal business name
VALLEY CHILDREN'S HOSPITAL
Practice address
5085 E McKinley Ave
Fresno, CA 93727-1964
Phone
(559) 353-7125
Fax
(559) 353-7461
NPI assigned
Nov 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2025

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

Authorized official

Name
Ms. Tina Mycroft
Title
Senior VP & Cfo
Phone
(559) 353-7238

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Infusion Therapy Pharmacy 3336H0001X PHY44810 CA Primary

Addresses

Primary practice location

5085 E McKinley Ave
Fresno, CA 93727-1964

Mailing address

5085 E McKinley Ave
Fresno, CA 93727-1964
Phone (559) 353-7125

Other identifiers 2

IdentifierTypeStateIssuer
00-3882OtherCABLUE CROSS PROVIDER
PHA4481000MedicaidCA

Other names 1

  • Valley Children's Home Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Children'S Hospital Central California11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

5085 E McKinley Ave
Fresno, CA 93727
Phone (559) 353-7125

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1275612673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5085 E MCKINLEY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271964",
            "telephone_number": "559-353-7125",
            "fax_number": "559-353-7460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5085 E MCKINLEY AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937271964",
            "telephone_number": "559-353-7125",
            "fax_number": "559-353-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CHILDREN'S HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-04",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "MYCROFT",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "SENIOR VP & CFO",
        "authorized_official_telephone_number": "559-353-7238",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "3336H0001X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Home Infusion Therapy Pharmacy",
            "state": "CA",
            "license": "PHY44810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS PROVIDER",
            "identifier": "00-3882",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHA4481000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Children's Home Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Children's Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 14, 2025; 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.