Organization Active NPI

Valley Children's Medical Center, a.M.C.

  • Pediatrics Physician
  • Fresno, CA
National Provider Identifier
1396921482
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A115072 Issued in CA
Legal business name
VALLEY CHILDREN'S MEDICAL CENTER, A.M.C.
Practice address
4646 N 1St St Ste 102
Fresno, CA 93726-0973
Phone
(559) 226-4646
Fax
(559) 227-4646
NPI assigned
Jan 18, 2008
Last updated
Dec 11, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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

Authorized official

Name
Naveen Jindal
Title
President
Phone
(559) 226-4646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X A115072 CA Primary

Addresses

Primary practice location

4646 N 1St St Ste 102
Fresno, CA 93726-0973

Mailing address

4646 N 1St St Ste 102
Fresno, CA 93726-0973
Phone (559) 226-4646

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1396921482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 N 1ST ST STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937260973",
            "telephone_number": "559-226-4646",
            "fax_number": "559-227-4646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4646 N 1ST ST STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937260973",
            "telephone_number": "559-226-4646",
            "fax_number": "559-227-4646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CHILDREN'S MEDICAL CENTER, A.M.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2013-12-11",
        "status": "A",
        "authorized_official_last_name": "JINDAL",
        "authorized_official_first_name": "NAVEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-226-4646"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A115072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Dec 11, 2013; 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.