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
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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
- 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
- Central Valley Hospice Palliative Medicine Professional Corporation (Central Valley Enhanced Care Management)
- Central Valley Justice Coalition
- Central Valley Lifestyle Medicine, PC
- Central Valley Liver Pancreas and Gastrointestinal Surgery, Inc
- Central Valley Medical Imaging, LLC
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.