NPIMap

Organization Active NPI

Central Valley Medical Services

  • Exclusive Provider Organization
  • Fresno, CA
National Provider Identifier
1831597988
Registry record updated Dec 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Exclusive Provider OrganizationTaxonomy code 302F00000X
Legal business name
CENTRAL VALLEY MEDICAL SERVICES
Practice address
2042 Kern St
Fresno, CA 93721-2008
Phone
(559) 400-6420
NPI assigned
Dec 5, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2014

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

Authorized official

Name
Ibrahim Marouf
Title
Cfo
Phone
(559) 400-6420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Exclusive Provider Organization 302F00000X Primary

Addresses

Primary practice location

2042 Kern St
Fresno, CA 93721-2008

Mailing address

2042 Kern St
Fresno, CA 93721-2008

National Provider Directory

National Provider Directory
Tax ID family
Central Valley Medical Services3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1417737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1417737600000",
    "number": "1831597988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2042 KERN ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937212008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2042 KERN ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937212008",
            "telephone_number": "559-400-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-05",
        "last_updated": "2014-12-05",
        "status": "A",
        "authorized_official_last_name": "MAROUF",
        "authorized_official_first_name": "IBRAHIM",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "559-400-6420"
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2014; 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.