Organization Active NPI

Central Valley Neurodiagnostic Medical Group, Inc.

  • Neurology Physician
  • Fresno, CA
National Provider Identifier
1437433745
Registry record updated Jul 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
A66769 Issued in CA
Legal business name
CENTRAL VALLEY NEURODIAGNOSTIC MEDICAL GROUP, INC.
Practice address
7585 N Cedar Ave
102
Fresno, CA 93720-2604
Phone
(559) 243-1232
NPI assigned
Oct 5, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2016

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

Authorized official

Name
Dr. Abbas Mehdi, M.D.
Title
President
Phone
(559) 243-1232

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X A66769 CA Primary

Addresses

Primary practice location

7585 N Cedar Ave
102
Fresno, CA 93720-2604

Mailing address

7585 N Cedar Ave
102
Fresno, CA 93720-2604
Phone (559) 243-1232

National Provider Directory

National Provider Directory

Locations

7585 N Cedar Ave
Ste 102
Fresno, CA 93720
Phone (559) 243-1232

NPI Registry JSON

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

{
    "created_epoch": "1317772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468886400000",
    "number": "1437433745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7585 N CEDAR AVE",
            "address_2": "102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202604",
            "telephone_number": "559-243-1232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7585 N CEDAR AVE",
            "address_2": "102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202604",
            "telephone_number": "559-243-1232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY NEURODIAGNOSTIC MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-05",
        "last_updated": "2016-07-19",
        "status": "A",
        "authorized_official_last_name": "MEHDI",
        "authorized_official_first_name": "ABBAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-243-1232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "A66769",
            "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 Jul 19, 2016; 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.