Central Valley Medical Services

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

Legal business name

CENTRAL VALLEY MEDICAL SERVICES

Doing business as

Fresno PACE

Practice address

2042 Kern St
Fresno, CA 93721-2008

Phone

(559) 400-6420

Fax

(877) 641-0513

NPI assigned

Dec 2, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Marie Deniston, R.N.

Title

Clinical Supervisor

Phone

(559) 400-6420

Specialties & licenses 1

Addresses

Other names 1

• Fresno PACE Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

  • Exclusive Provider Organization
  • Fresno, CA
  • NPI 1831597988
  NPD tax ID
• Central Valley Medical Services Corporation

  • Primary Care Clinic/Center
  • Fresno, CA
  • NPI 1497096721
  NPD tax ID

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

{
    "created_epoch": "1417478400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417478400000",
    "number": "1568869808",
    "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",
            "fax_number": "877-641-0513"
        },
        {
            "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",
            "fax_number": "877-641-0513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-02",
        "last_updated": "2014-12-02",
        "status": "A",
        "authorized_official_last_name": "DENISTON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "559-400-6420",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fresno PACE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Central Valley Justice Coalition
• Central Valley Lifestyle Medicine, PC
• 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 Corporation
• Central Valley Medical Supplies
• Central Valley Medical Transportation Inc.
• Central Valley Neurodiagnostic Medical Group, Inc.

• Nursing Facility/Intermediate Care Facility in Fresno, CA
• Providers in Fresno, CA by specialty
• Nursing Facility/Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.