Central Valley Pediatrics

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

G66119 Issued in CA

Legal business name

CENTRAL VALLEY PEDIATRICS

Doing business as

Central Valley Pediatrics, Inc

Practice address

7011 N Howard St
Suite 106
Fresno, CA 93720-2955

Phone

(559) 431-6600

NPI assigned

Jan 27, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Raymond Canuto Miranda, MDNPI 1497797112

Title

President

Phone

(559) 431-6600

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Central Valley Pediatrics, Inc Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Raymond Miranda, MD

  • Pediatrics Physician
  • Fresno, CA
  • NPI 1497797112
  NPD Authorized official

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

{
    "created_epoch": "1327622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327622400000",
    "number": "1285906941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7011 N HOWARD ST",
            "address_2": "SUITE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202955",
            "telephone_number": "559-431-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7011 N HOWARD ST",
            "address_2": "SUITE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202955",
            "telephone_number": "559-431-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-27",
        "last_updated": "2012-01-27",
        "status": "A",
        "authorized_official_last_name": "MIRANDA",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_middle_name": "CANUTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-431-6600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G66119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G661190",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Valley Pediatrics, Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Valley Medical Supplies
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• Central Valley Optimal Medical Care Inc
• Central Valley Palliative Medicine Inc
• Central Valley Pediatrics , Inc (Central Valley Pediatrics.)
• Central Valley Physiatry, Inc
• Central Valley Pulmonary Diagnostics, LLC
• Central Valley Regional Center
• Central Valley Transport (Central Valley Medical Transport)

• Primary Care Clinic/Center in Fresno, CA
• Providers in Fresno, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2012; 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.