Organization Active NPI

Big Valley Eye, Inc

Doing business as Valley Medical Plaza Ambulatory Surgical Center

  • Ambulatory Surgical Clinic/Center
  • Fresno, CA
National Provider Identifier
1578227153
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
BIG VALLEY EYE, INC
Doing business as
Valley Medical Plaza Ambulatory Surgical Center
Practice address
1680 E Herndon Ave Ste 101
Fresno, CA 93720-3384
Phone
(559) 432-4200
NPI assigned
Oct 28, 2021
Last updated
Jan 20, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
-As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Emile S Sharifi, MDNPI 1306163589
Title
Medical Director
Phone
(559) 432-4200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1680 E Herndon Ave Ste 101
Fresno, CA 93720-3384

Mailing address

1680 E Herndon Ave Ste 101
Fresno, CA 93720-3384
Phone (559) 432-4200

Other names 1

  • Valley Medical Plaza Ambulatory Surgical Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220201002010 CA Part B Supplier - Ambulatory Surgical Center 2567855265 Practice locations: Fresno, CA

Care Compare: Ambulatory surgical center

Medicare Care Compare
Listed as
Big Valley Eye Inc Dba Valley Medical Plaza Ambulatory Surgical CenterCCN 05C0001007
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Part of
Big Valley Eye Inc

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1635379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1578227153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 E HERNDON AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203384",
            "telephone_number": "559-432-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 E HERNDON AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203384",
            "telephone_number": "559-432-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIG VALLEY EYE, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "-",
        "enumeration_date": "2021-10-28",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-19",
        "status": "A",
        "authorized_official_last_name": "SHARIFI",
        "authorized_official_first_name": "EMILE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "559-432-4200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Valley Medical Plaza Ambulatory Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Valley Medical Plaza Ambulatory Surgical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.