Valley Family Health Center Medical Group, Inc.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

VALLEY FAMILY HEALTH CENTER MEDICAL GROUP, INC.

Doing business as

Maternal & Child Care Center

Practice address

10769 14TH Ave
Armona, CA 93202

Phone

(559) 583-7200

Fax

(559) 583-7609

NPI assigned

Sep 26, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Charles W. Smith, FNP

Title

Coo

Phone

(559) 867-4416

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Maternal & Child Care Center Doing business as

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223942400000",
    "number": "1730280959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 543",
            "city": "RIVERDALE",
            "state": "CA",
            "postal_code": "936560543",
            "telephone_number": "559-867-4416",
            "fax_number": "559-867-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10769 14TH AVE",
            "city": "ARMONA",
            "state": "CA",
            "postal_code": "93202",
            "telephone_number": "559-583-7200",
            "fax_number": "559-583-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY FAMILY HEALTH CENTER MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-26",
        "last_updated": "2008-10-14",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "559-867-4416",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM53915F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAP53915F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maternal & Child Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kary Lynn Smith Herrera, PPS
• Deloris Tara Keeton
• Fabian A Roman
• Angel Santibanez
• Valley Family Health Center (Maternal & Child Care Center)
• Alma Nidia Villarreal

• Rural Health Clinic/Center in Armona, CA
• Providers in Armona, CA by specialty
• Rural Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2008; 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.