Central Valley Medical Services Corporation

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

CENTRAL VALLEY MEDICAL SERVICES CORPORATION

Practice address

2042 Kern St
Fresno, CA 93721-2008

Phone

(559) 400-6420

NPI assigned

Mar 12, 2013

Organization subpart

No

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

Authorized official

Name

Ibrahim Marouf

Title

Cfo

Phone

(949) 228-5577

Specialties & licenses 1

Addresses

Tax ID family

Central Valley Medical Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Central Valley Medical Services

  • Nursing Facility/Intermediate Care Facility
  • Fresno, CA
  • NPI 1568869808
  NPD tax ID
• Central Valley Medical Services

  • Exclusive Provider Organization
  • Fresno, CA
  • NPI 1831597988
  NPD tax ID

Locations

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

{
    "created_epoch": "1363046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666742400000",
    "number": "1497096721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 KERN ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937212008",
            "telephone_number": "559-400-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2042 KERN ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937212008",
            "telephone_number": "559-400-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY MEDICAL SERVICES CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-12",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A",
        "authorized_official_last_name": "MAROUF",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "949-228-5577"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Valley Liver Pancreas and Gastrointestinal Surgery, Inc
• Central Valley Medical Imaging, LLC
• Central Valley Medical Providers
• Central Valley Medical Services
• Central Valley Medical Services
• Central Valley Medical Supplies
• Central Valley Medical Transportation Inc.
• Central Valley Neurodiagnostic Medical Group, Inc.
• Central Valley Optimal Medical Care Inc
• Central Valley Palliative Medicine Inc

• Primary Care Clinic/Center in Fresno, CA
• Providers in Fresno, CA by specialty
• Primary Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2022; 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.