Central Valley Physiatry, Inc

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

C54371 Issued in CA

Legal business name

CENTRAL VALLEY PHYSIATRY, INC

Practice address

1781 East Fir Avenue
Ste 102
Fresno, CA 93720

Phone

(559) 800-7476

Fax

(800) 386-9828

NPI assigned

Aug 5, 2014

Organization subpart

No

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

Authorized official

Name

Brian Lamar Brice, MD

Title

President

Phone

(559) 800-7476

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1407196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410739200000",
    "number": "1629487517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1781 EAST FIR AVENUE",
            "address_2": "STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-800-7476",
            "fax_number": "800-386-9828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1781 EAST FIR AVENUE",
            "address_2": "STE 102",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93720",
            "telephone_number": "559-800-7476",
            "fax_number": "800-386-9828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY PHYSIATRY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-05",
        "last_updated": "2014-09-15",
        "status": "A",
        "authorized_official_last_name": "BRICE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "LAMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-800-7476",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "C54371",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Valley Neurodiagnostic Medical Group, Inc.
• Central Valley Optimal Medical Care Inc
• Central Valley Palliative Medicine Inc
• Central Valley Pediatrics
• Central Valley Pediatrics , Inc
• Central Valley Pulmonary Diagnostics, LLC
• Central Valley Regional Center
• Central Valley Transport
• Central Valley Urgent Care Medical Group Inc
• Central Valley Vein and Laser Center, a Medical Group

• Physical Medicine & Rehabilitation Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Physical Medicine & Rehabilitation Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2014; 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.