Central Valley Wound Care Medical Group Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CENTRAL VALLEY WOUND CARE MEDICAL GROUP INC

Practice address

5100 N 6TH St # 159
Fresno, CA 93710-7514

Phone

(559) 290-7088

Fax

(805) 855-4540

NPI assigned

Sep 20, 2023

Last updated

Sep 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Ara Soghomonian, MDNPI 1447366018

Title

President

Phone

(559) 290-7088

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, and the practitioner matching its NPPES authorized official.

• Ara Karnik Soghomonian, MD

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1447366018
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1695168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1740068600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 N 6TH ST # 159",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107514",
            "telephone_number": "559-290-7088",
            "fax_number": "805-855-4540"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 N 6TH ST # 159",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107514",
            "telephone_number": "559-290-7088",
            "fax_number": "805-855-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY WOUND CARE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-20",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "SOGHOMONIAN",
        "authorized_official_first_name": "ARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-290-7088",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Valley Regional Center
• Central Valley Transport (Central Valley Medical Transport)
• Central Valley Urgent Care Medical Group Inc
• Central Valley Vein and Laser Center, a Medical Group (Elmore Medical Vein & Laser Treatment Center, Inc.)
• Central Valley Wellness Center
• Centro Binacional Para El Desarrollo Indigena Oaxaqueno
• Centro la Familia Advocacy Services, Inc.
• Cep America - California (Vituity)
• Cep America - Intensivists PC (Vituity)
• Linda Cepeda, M.S.

• Internal Medicine Physician in Fresno, CA
• Providers in Fresno, 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 Sep 20, 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.