Organization Active NPI

Central Valley Community Medical Imaging

Doing business as Cmi

  • Diagnostic Radiology Physician
  • Fresno, CA
National Provider Identifier
1376637264
Registry record updated Aug 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CENTRAL VALLEY COMMUNITY MEDICAL IMAGING
Doing business as
Cmi
Practice address
2823 Fresno St
Fresno and R Streets
Fresno, CA 93721-1324
Phone
(559) 459-3980
NPI assigned
Oct 3, 2006
Last updated
Aug 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2016

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

Authorized official

Name
Dr. Frank Chang, M.D.NPI 1568556413
Title
Treasurer
Phone
(559) 325-5800

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085N0904X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 names 1

  • CMI Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled 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, UT29 enrollments

Enrollment records 29

Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory

Locations

2755 Herndon Ave
Ste 108
Clovis, CA 93611

729 N Medical Center Dr W
#9
Clovis, CA 93611

729 N Medical Center Dr W
Ste 111
Clovis, CA 93611
Phone (559) 320-0531

1827 E Fir Ave
Ste 104
Fresno, CA 93720

1867 E Fir Ave
Fresno, CA 93720

1867 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 325-5800

2500 Merced St
Fresno, CA 93721

2823 Fresno St
#R
Fresno, CA 93721
Phone (559) 459-3980

7543 N Ingram Ave
Ste 106
Fresno, CA 93711

400 Skokie Blvd
Ste 850
Northbrook, IL 60062

Practitioners & affiliated clinicians

Practitioners 182

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.

View all 182

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470960000000",
    "number": "1376637264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1867 E FIR AVE",
            "address_2": "SUITE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203841",
            "telephone_number": "559-325-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2823 FRESNO ST",
            "address_2": "FRESNO AND R STREETS",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211324",
            "telephone_number": "559-459-3980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY COMMUNITY MEDICAL IMAGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2016-08-12",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "FRANK",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "559-325-5800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Nuclear Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CMI",
            "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 Aug 12, 2016; 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.