Central Valley Comprehensive Care Inc.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

CENTRAL VALLEY COMPREHENSIVE CARE INC.

Practice address

869 W Lacey Blvd
Hanford, CA 93230-4328

Phone

(559) 582-9313

Fax

(559) 582-2570

NPI assigned

Jan 8, 2007

Last updated

Mar 8, 2018By 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

John M Riddle, M DNPI 1003823550

Title

Medical Director

Phone

(559) 582-9313

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 4

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.

• John M Riddle, MD

  • Family Medicine Physician
  • Hanford, CA
  • NPI 1003823550
  Medicare reassignment NPD Authorized official
• Dennis Keith Miller, D.O.

  • Family Medicine Physician
  • Hanford, CA
  • NPI 1487893483
  Medicare reassignment NPD
• Tara Maria Clark, FNP

  • Family Nurse Practitioner
  • Porterville, CA
  • NPI 1285081299
  NPD (past)
• Ronnette Denise Daulton, FNP

  • Nurse Practitioner
  • Hanford, CA
  • NPI 1205020468
  NPD (past)

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1841348448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "869 W LACEY BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304328",
            "telephone_number": "559-582-9313",
            "fax_number": "559-582-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "869 W LACEY BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304328",
            "telephone_number": "559-582-9313",
            "fax_number": "559-582-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY COMPREHENSIVE CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "RIDDLE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "559-582-9313",
        "authorized_official_credential": "M D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Destiny Dominique Castro
• Sydney Catanzaro
• Melissa Cavanaugh, LPC
• Anay I Ceballos, AMFT
• Cencal Anesthesia and Nursing Inc.
• Central Valley Critical Care Medicine - a Professional Corporat
• Central Valley Endocrinology, a Professional Corporation (Central Valley Endocrinology, Apc)
• Central Valley General Hospital (dba Adventist Health Home Medical Equipment)
• Central Valley General Hospital
• Central Valley Health Transport Inc

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.