Organization Active NPI

Central Valley Medical Supply

  • Durable Medical Equipment & Medical Supplies
  • Los Banos, CA
National Provider Identifier
1457500456
Registry record updated Sep 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CENTRAL VALLEY MEDICAL SUPPLY
Practice address
245 W Pacheco Blvd
Suite C
Los Banos, CA 93635-4067
Phone
(209) 826-4810
Fax
(209) 826-7376
NPI assigned
Sep 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2008

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

Authorized official

Name
Mr. Anthony Saul Caldera, REHAB TECHNOLOGY SUP
Title
Partner
Phone
(209) 826-4810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

245 W Pacheco Blvd
Suite C
Los Banos, CA 93635-4067

Mailing address

245 W Pacheco Blvd
Suite C
Los Banos, CA 93635-4067
Phone (209) 826-4810

National Provider Directory

National Provider Directory

Locations

245 W Pacheco Blvd
Ste C
Los Banos, CA 93635
Phone (209) 826-4810

NPI Registry JSON

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

{
    "created_epoch": "1221436800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221436800000",
    "number": "1457500456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 W PACHECO BLVD",
            "address_2": "SUITE C",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936354067",
            "telephone_number": "209-826-4810",
            "fax_number": "209-826-7376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 W PACHECO BLVD",
            "address_2": "SUITE C",
            "city": "LOS BANOS",
            "state": "CA",
            "postal_code": "936354067",
            "telephone_number": "209-826-4810",
            "fax_number": "209-826-7376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY MEDICAL SUPPLY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-15",
        "last_updated": "2008-09-15",
        "status": "A",
        "authorized_official_last_name": "CALDERA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "SAUL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "209-826-4810",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "REHAB TECHNOLOGY SUP"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Banos, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.