NPIMap

Organization Active NPI

Central Valley Endocrinology, a Professional Corporation

Doing business as Central Valley Endocrinology, Apc

  • Endocrinology, Diabetes & Metabolism Physician
  • Hanford, CA
National Provider Identifier
1679767214
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
A91333 Issued in CA
Legal business name
CENTRAL VALLEY ENDOCRINOLOGY, A PROFESSIONAL CORPORATION
Doing business as
Central Valley Endocrinology, Apc
Practice address
1524 W Lacey Blvd
Suite 201
Hanford, CA 93230-5965
Phone
(559) 587-1100
Fax
(559) 587-9044
NPI assigned
Aug 28, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Prem Sahasranam, M.D.NPI 1720270820
Title
Ceo
Phone
(559) 587-1100

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
Endocrinology, Diabetes & Metabolism Physician 207RE0101X A91333 CA Primary

Addresses

Primary practice location

1524 W Lacey Blvd
Suite 201
Hanford, CA 93230-5965

Mailing address

PO Box 1669
Hanford, CA 93232-1669
Phone (559) 587-1100

Other names 1

  • CENTRAL VALLEY ENDOCRINOLOGY, APC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080125000517 CA Part B Supplier - Clinic/Group Practice 1052493301 Receives reassigned benefits from 7 practitioners
Practice locations: Hanford, CA; Visalia, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1679767214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1669",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932321669",
            "telephone_number": "559-587-1100",
            "fax_number": "559-587-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 W LACEY BLVD",
            "address_2": "SUITE 201",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305965",
            "telephone_number": "559-587-1100",
            "fax_number": "559-587-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY ENDOCRINOLOGY, A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "SAHASRANAM",
        "authorized_official_first_name": "PREM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-587-1100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "CA",
            "license": "A91333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CENTRAL VALLEY ENDOCRINOLOGY, APC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.