NPIMap

Organization Active NPI

Valley Children's Medical Group

  • Pediatrics Physician
  • Modesto, CA
National Provider Identifier
1437555265
Registry record updated Jan 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
VALLEY CHILDREN'S MEDICAL GROUP
Practice address
1524 McHenry Ave
Suite 550
Modesto, CA 95350-4500
Phone
(559) 353-5010
NPI assigned
Nov 5, 2014
Last updated
Jan 27, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2015

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

Authorized official

Name
Mr. Michael Goldring
Title
Chief Administrative Officer
Phone
(559) 353-5010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X NU Primary

Addresses

Primary practice location

1524 McHenry Ave
Suite 550
Modesto, CA 95350-4500

Mailing address

9300 Valley Childrens PL
Mailstop SC61
Madera, CA 93636-8761
Phone (559) 353-5010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150528001593 CA Part B Supplier - Clinic/Group Practice 9032439336 Receives reassigned benefits from 389 practitioners
Practice locations: Templeton, CA; Visalia, CA; Modesto, CA; Fresno, CA; Bakersfield, CA

National Provider Directory

National Provider Directory

Locations

1215 34th St
Bakersfield, CA 93301
Phone (661) 663-4700

12500 Stockdale Hwy
Bakersfield, CA 93314
Phone (661) 564-3300

1125 E Spruce Ave
Ste 101
Fresno, CA 93720
Phone (559) 256-5760

7720 N Fresno St
Ste 106
Fresno, CA 93720
Phone (559) 353-7271

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

1310 Las Tablas Rd
Ste 204
Templeton, CA 93465
Phone (805) 434-0333

220 S Akers St
Visalia, CA 93291
Phone (559) 302-1245

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 644

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 644

NPI Registry JSON

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

{
    "created_epoch": "1415145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422316800000",
    "number": "1437555265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 VALLEY CHILDRENS PL",
            "address_2": "MAILSTOP SC61",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936368761",
            "telephone_number": "559-353-5010",
            "fax_number": "559-353-5311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 MCHENRY AVE",
            "address_2": "SUITE 550",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504500",
            "telephone_number": "559-353-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY CHILDREN'S MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-05",
        "last_updated": "2015-01-27",
        "status": "A",
        "authorized_official_last_name": "GOLDRING",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "559-353-5010",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2015; 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.