Organization Active NPI

Central Valley Hospice Palliative Medicine Professional Corporation

Doing business as Central Valley Hospice Palliative Medicine

  • Community Based Hospice Care Agency
  • Fresno, CA
National Provider Identifier
1386482701
Registry record updated Nov 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CENTRAL VALLEY HOSPICE PALLIATIVE MEDICINE PROFESSIONAL CORPORATION
Doing business as
Central Valley Hospice Palliative Medicine
Practice address
1805 E Fir Ave Ste 104
Fresno, CA 93720-3859
Phone
(559) 779-1888
NPI assigned
Jul 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2024

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

Authorized official

Name
Dr. Sundeep Grandhe, MD, HMDC, FAAHPM
Title
Ceo/Medical Director
Phone
(559) 779-1888

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary
Inpatient Hospice 315D00000X

Addresses

Primary practice location

1805 E Fir Ave Ste 104
Fresno, CA 93720-3859

Mailing address

1077 N Willow Ave Suite 105
PMB 35
Fresno, CA 93611-4415
Phone (559) 779-1888

Other names 1

  • Central Valley Hospice Palliative Medicine Doing business as

National Provider Directory

National Provider Directory

Locations

1077 N Willow Ave
Ste 105
Clovis, CA 93611

1805 E Fir Ave
Ste 104
Fresno, CA 93720
Phone (559) 321-8510

NPI Registry JSON

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

{
    "created_epoch": "1721260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732838400000",
    "number": "1386482701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1077 N WILLOW AVE SUITE 105",
            "address_2": "PMB 35",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "936114415",
            "telephone_number": "559-779-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1805 E FIR AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203859",
            "telephone_number": "559-779-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY HOSPICE PALLIATIVE MEDICINE PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-18",
        "last_updated": "2024-11-29",
        "certification_date": "2024-11-29",
        "status": "A",
        "authorized_official_last_name": "GRANDHE",
        "authorized_official_first_name": "SUNDEEP",
        "authorized_official_title_or_position": "CEO/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "559-779-1888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, HMDC, FAAHPM"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Valley Hospice Palliative Medicine",
            "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 Nov 29, 2024; 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.