Valley Kidney Medical Group Inc

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

VALLEY KIDNEY MEDICAL GROUP INC

Practice address

1646 E Herndon Ave Ste 106
Fresno, CA 93720-3380

Phone

(559) 554-2914

NPI assigned

Feb 10, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Tom Yang, MD

Title

President

Phone

(559) 731-7306

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1581292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1581292800000",
    "number": "1629600416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 W REESE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779157",
            "telephone_number": "559-731-7306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1646 E HERNDON AVE STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203380",
            "telephone_number": "559-554-2914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY KIDNEY MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-10",
        "last_updated": "2020-02-10",
        "certification_date": "2020-02-10",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-731-7306",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valley Health Management
• Valley Health Team Inc.
• Valley Healthcare Center, LLC
• Valley Healthcare Center, LLC
• Valley Housecalls, Inc.
• Valley Medical Pharmacy
• Valley Medical Pharmacy
• Valley Medical Plaza Ambulatory
• Valley Medical Supplies
• Valley Medical Supplies Inc.

• Nephrology Physician in Fresno, CA
• Providers in Fresno, CA by specialty
• Nephrology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2020; 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.