Central Valley Community Medical Imaging
Organization Active NPI Diagnostic Radiology Physician · Fresno, CA
NPI 1376637264 · NPPES record last updated Aug 12, 2016
Key facts
- NPI
- 1376637264
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- CENTRAL VALLEY COMMUNITY MEDICAL IMAGING
- Practice address
- 2823 Fresno St
Fresno and R Streets
Fresno, CA 93721-1324 - Phone
- (559) 459-3980
- NPI assigned
- Oct 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Frank Chang, M.D.
- Title
- Treasurer
- Phone
- (559) 325-5800
Practitioners 183
-
Stephen Aaron Balfour, M.D.
-
Frank Chang, M.D.
-
Alysse Clark, MD
-
Dustin Mathew Covell, M.D.
-
Kevin Day, MD
-
Obadiah Elkins, MD
-
David Ishimitsu, M.D.
-
Nitasha G. Klar, M.D.
-
Siri Kunchakarra, M.D.
-
Jason Jwo Lee, MD
-
Michael Chien-Yu Lin, M.D.
-
Jose A Ospina, MD, PHD
-
Huma Sarah Qureshi, M.D.
-
Ivan Ramirez, MD
-
Puneet Rana, MD, MS
-
Faranak Sadri Tafazoli, M.D.
-
Paul Richard Speece, M.D.
-
Tahir Alkhairy, MD
-
Tse Anyu, DO
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (29 enrollments) in CA, IL, TN, MA, SC, VA, MI, MO, TX, NY, AZ, VI, PA, FL, KS, CO, WA, HI, PR, AL, KY, OH, NM, WI, NJ, NC, ME, MT, UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040210000681 | CA | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 88 practitioners Practice locations: Malibu, CA; Arroyo Grande, CA; Marina del Rey, CA; Newport Beach, CA; Newport Coast, CA; Rancho Cucamonga, CA; Rancho Mirage, CA; Rancho Palos Verdes, CA… |
| O20200504001512 | IL | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 10 practitioners Practice locations: Algonquin, IL; Chicago, IL; Kankakee, IL; Northbrook, IL; Western Springs, IL; Wilmette, IL |
| O20200504002442 | TN | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 2 practitioners Practice locations: Nashville, TN |
| O20200506001236 | MA | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 1 practitioner Practice locations: Concord, MA |
| O20200511000613 | SC | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 6 practitioners Practice locations: North Myrtle Beach, SC |
| O20200511000855 | VA | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 2 practitioners Practice locations: Williamsburg, VA |
| O20200511001010 | MI | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 2 practitioners Practice locations: Bloomfield Hills, MI |
| O20200518001073 | MO | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 1 practitioner Practice locations: Kansas City, MO |
| O20200520000628 | TX | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 6 practitioners Practice locations: Allen, TX |
| O20200625000237 | NY | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 6 practitioners Practice locations: New York, NY |
| O20200714001121 | AZ | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 15 practitioners Practice locations: Chandler, AZ; Paradise Valley, AZ; Queen Creek, AZ; Scottsdale, AZ |
| O20200803003437 | VI | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 1 practitioner Practice locations: Frederiksted, VI |
| O20210112000010 | PA | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 4 practitioners Practice locations: Allentown, PA |
| O20210209000610 | FL | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 15 practitioners Practice locations: Bradenton, FL; Tampa, FL |
| O20211115000603 | KS | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 2 practitioners Practice locations: Lawrence, KS |
| O20211116001921 | CO | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 7 practitioners Practice locations: Cortez, CO |
| O20221004002176 | WA | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 3 practitioners Practice locations: Kennewick, WA |
| O20230516002243 | HI | Part B Supplier - Clinic/Group Practice | 5799679874 | Practice locations: Honolulu, HI |
| O20230609002944 | PR | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 4 practitioners Practice locations: San Juan, PR |
| O20230905002922 | AL | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 1 practitioner Practice locations: Vestavia Hills, AL |
| O20240301001392 | KY | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 1 practitioner Practice locations: Elizabethtown, KY |
| O20240319002723 | OH | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 2 practitioners Practice locations: Cleveland, OH |
| O20240724000095 | NM | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 1 practitioner Practice locations: Albuquerque, NM |
| O20240726001960 | WI | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 1 practitioner Practice locations: Janesville, WI |
| O20250204001745 | NJ | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 1 practitioner Practice locations: Essex Fells, NJ |
| O20250703002096 | NC | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 2 practitioners Practice locations: Cary, NC |
| O20251217000046 | ME | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 1 practitioner Practice locations: Cape Elizabeth, ME |
| O20260429001281 | MT | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 1 practitioner Practice locations: Lakeside, MT |
| O20260505003163 | UT | Part B Supplier - Clinic/Group Practice | 5799679874 |
Receives reassigned benefits from 1 practitioner Practice locations: Park City, UT |
National Provider Directory
Locations
2755 Herndon Ave
Ste 108
Clovis, CA 93611
1867 E Fir Ave
Ste 101
Fresno, CA 93720
Phone (559) 325-5800
2335 E Kashian Ln
Ste 240
Fresno, CA 93701
Phone (559) 320-0545
2823 Fresno St
#R
Fresno, CA 93721
Phone (559) 459-3980
2500 Merced St
Fresno, CA 93721
7543 N Ingram Ave
Ste 106
Fresno, CA 93711
1867 E Fir Ave
Fresno, CA 93720
1827 E Fir Ave
Ste 104
Fresno, CA 93720
400 Skokie Blvd
Ste 850
Northbrook, IL 60062
2307 W Cone Blvd
Ste 130
Greensboro, NC 27408
Phone (336) 339-5530
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician |
2085N0904X | |||
| Diagnostic Radiology Physician |
2085R0202X | Yes | ||
| Vascular & Interventional Radiology Physician |
2085R0204X |
Addresses
Primary practice location
2823 Fresno St
Fresno and R Streets
Fresno, CA 93721-1324
Mailing address
1867 E Fir Ave
Suite 104
Fresno, CA 93720-3841
Phone (559) 325-5800
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0023250 | Medicaid | CA |
Other names
- CMI
Other providers in Fresno, CA
- Central Unified School District
- Central Valley Behavioral Health Psychology Corporation
- Central Valley Care Inc.,
- Central Valley Care, Inc.
- Central Valley Colon & Rectal Surgical Associates, Inc.
- Central Valley Community Sports Foundation
- Central Valley Family Therapy Corp
- Central Valley Health Plan, Inc.
- Central Valley Home Health Care Inc
- Central Valley Home Health, LLC
All providers in Fresno, CA · Diagnostic Radiology Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 12, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.