NPIMap

Organization Active NPI

Central Valley Critical Care Medicine - a Professional Corporat

  • Critical Care Medicine (Internal Medicine) Physician
  • Hanford, CA
National Provider Identifier
1366829640
Registry record updated Aug 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
C50351 Issued in CA
Legal business name
CENTRAL VALLEY CRITICAL CARE MEDICINE - A PROFESSIONAL CORPORAT
Practice address
115 Mall Dr
Hanford, CA 93230-5786
Phone
(559) 582-9000
NPI assigned
May 6, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2026

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

Authorized official

Name
Harjoth Singh MalliNPI 1992994073
Title
Co-Owner/Ceo
Phone
(559) 732-0762

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0200X C50351 CA Primary

Addresses

Primary practice location

115 Mall Dr
Hanford, CA 93230-5786

Mailing address

5211 W Goshen Ave
PMB 326
Visalia, CA 93291-8619
Phone (559) 802-5596

Other practice location 1

465 W Putnam Ave
Porterville, CA 93257-3320
Phone (559) 784-1110

Other practice location 2

869 N Cherry St
Tulare, CA 93274-2207
Phone (559) 688-0821

Other practice location 3

420 34th St
Bakersfield, CA 93301-2237
Phone (661) 327-4647

Other practice location 4

1141 Rose Ave
Selma, CA 93662-3241
Phone (559) 891-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151119002771 CA Part B Supplier - Clinic/Group Practice 4284934423 Receives reassigned benefits from 55 practitioners
Practice locations: Hanford, CA; Visalia, CA; Tulare, CA; Porterville, CA; Bakersfield, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 55

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 55

NPI Registry JSON

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

{
    "created_epoch": "1430870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785715200000",
    "number": "1366829640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5211 W GOSHEN AVE",
            "address_2": "PMB 326",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932918619",
            "telephone_number": "559-802-5596",
            "fax_number": "559-802-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 MALL DR",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305786",
            "telephone_number": "559-582-9000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "465 W Putnam Ave",
            "address_purpose": "LOCATION",
            "city": "Porterville",
            "state": "CA",
            "postal_code": "932573320",
            "country_code": "US",
            "telephone_number": "559-784-1110",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "869 N Cherry St",
            "address_purpose": "LOCATION",
            "city": "Tulare",
            "state": "CA",
            "postal_code": "932742207",
            "country_code": "US",
            "telephone_number": "559-688-0821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "420 34th St",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933012237",
            "country_code": "US",
            "telephone_number": "661-327-4647",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1141 Rose Ave",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "CA",
            "postal_code": "936623241",
            "country_code": "US",
            "telephone_number": "559-891-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL VALLEY CRITICAL CARE MEDICINE - A PROFESSIONAL CORPORAT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-06",
        "last_updated": "2026-08-03",
        "certification_date": "2026-08-03",
        "status": "A",
        "authorized_official_last_name": "MALLI",
        "authorized_official_first_name": "HARJOTH",
        "authorized_official_middle_name": "SINGH",
        "authorized_official_title_or_position": "CO-OWNER/CEO",
        "authorized_official_telephone_number": "559-732-0762"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "C50351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.