Active NPI
Central Valley Medical Group
- Internal Medicine Physician
- Modesto, CA
National Provider Identifier
1841430964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- CENTRAL VALLEY MEDICAL GROUP
- Practice address
- 3509 Coffee Rd Ste D6
Modesto, CA 95355-1357 - Phone
- (209) 800-2864
- Fax
- (209) 408-0654
- NPI assigned
- Mar 2, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sandra James
- Title
- President & Ceo
- Phone
- (209) 541-9647
Specialties & licenses 13
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | |||
| Dermatology Physician | 207N00000X | |||
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Cardiovascular Disease Physician | 207RC0000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Ophthalmology Physician | 207W00000X | |||
| Otolaryngology Physician | 207Y00000X | |||
| Pediatrics Physician | 208000000X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | |||
| Plastic and Reconstructive Surgery Physician | 2086S0122X | |||
| Vascular Surgery Physician | 2086S0129X | |||
| Urology Physician | 208800000X |
Addresses
Primary practice location
3509 Coffee Rd Ste D6
Modesto, CA 95355-1357
Mailing address
3509 Coffee Rd Ste D6
Modesto, CA 95355-1357
Phone (209) 800-2864
National Provider Directory
National Provider DirectoryLocations
1923 Coffee Rd
Ste C
Modesto, CA 95355
3509 Coffee Rd
Ste D6
Modesto, CA 95355
Phone (209) 800-2864
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235952000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1771891200000",
"number": "1841430964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3509 COFFEE RD STE D6",
"city": "MODESTO",
"state": "CA",
"postal_code": "953551357",
"telephone_number": "209-800-2864",
"fax_number": "209-408-0654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3509 COFFEE RD STE D6",
"city": "MODESTO",
"state": "CA",
"postal_code": "953551357",
"telephone_number": "209-800-2864",
"fax_number": "209-408-0654"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL VALLEY MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2009-03-02",
"last_updated": "2026-02-24",
"certification_date": "2026-02-24",
"status": "A",
"authorized_official_last_name": "JAMES",
"authorized_official_first_name": "SANDRA",
"authorized_official_title_or_position": "PRESIDENT & CEO",
"authorized_official_telephone_number": "209-541-9647"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dermatology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0122X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Plastic and Reconstructive Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Modesto, CA
- Central Valley Cpappros, LLC
- Central Valley ENT Medical Group Inc
- Central Valley Functional Restoration Program
- Central Valley Home Health Services, Inc
- Central Valley Hospice Care Inc.
- Central Valley Pain Management & Wellness Inc.
- Central Valley Pain Management & Wellness Inc.
- Central Valley Pain Management and Wellness Clinic
- Central Valley Pain Management and Wellness Clinic Inc
- Central Valley Perfusion, Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.