Hanford Medical Group PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HANFORD MEDICAL GROUP PC

Practice address

808 Vaughn St
Hanford, CA 93230-4304

Phone

(559) 572-1376

NPI assigned

Aug 2, 2024

Organization subpart

No

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

Authorized official

Name

Sudesh Nagavalli, MDNPI 1780629691

Title

Owner

Phone

(559) 381-5156

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sudesh Nagavalli, MD

  • Internal Medicine Physician
  • Hanford, CA
  • NPI 1780629691
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746576000000",
    "number": "1730919978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 VAUGHN ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304304",
            "telephone_number": "559-572-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 VAUGHN ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304304",
            "telephone_number": "559-572-1376"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANFORD MEDICAL GROUP PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-02",
        "last_updated": "2025-05-07",
        "certification_date": "2025-04-29",
        "status": "A",
        "authorized_official_last_name": "NAGAVALLI",
        "authorized_official_first_name": "SUDESH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-381-5156",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hanford Healthcare Inc
• Hanford Ihc Inc
• Hanford Imaging LP
• Hanford Joint Union High School District
• Hanford Medical Associates, Inc.
• Hanford Orthopaedics, Inc.
• Hanford Pharmacy Inc
• Hanford Pharmacy Inc
• Hanford Regional Healthcare
• Hanford Regional Physicians Group, Inc

• Internal Medicine Physician in Hanford, CA
• Providers in Hanford, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.