Active NPI
Central Valley Medical Supply
- Durable Medical Equipment & Medical Supplies
- Los Banos, CA
National Provider Identifier
1457500456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Durable Medical Equipment & Medical Supplies
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Karen A Castro, ASW
- Lizbeth Ceja
- Samantha Flores Ceja
- Center for Speech & Language Therapy
- Central Valley Family Healthcare Inc. (Los Banos Family Health Clinic)
- Central Valley Pro Wash LLC (Interior Exterior Cleaning Pros.)
- Cep America - California (Vituity)
- Heaven Cerda
- Annabel Cerna, RDH
- Montserrat Ceron
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.