Organization Active NPI

Central Valley Healthcare

  • Primary Care Clinic/Center
  • Merced, CA
National Provider Identifier
1871048751
Registry record updated Mar 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
08649 Issued in CA
Legal business name
CENTRAL VALLEY HEALTHCARE
Practice address
1901 G St
Merced, CA 95340-5042
Phone
(209) 580-4952
Fax
(209) 580-4962
NPI assigned
Aug 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2017

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

Authorized official

Name
Ruth Jenkins, NP
Title
Ceo
Phone
(209) 580-4952

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 08649 CA Primary

Addresses

Primary practice location

1901 G St
Merced, CA 95340-5042

Mailing address

731 E Yosemite Ave Ste B
Merced, CA 95340-8039
Phone (209) 580-4952

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1471564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1871048751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "731 E YOSEMITE AVE STE B",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953408039",
            "telephone_number": "209-580-4952",
            "fax_number": "209-580-4962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 G ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953405042",
            "telephone_number": "209-580-4952",
            "fax_number": "209-580-4962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-19",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "RUTH",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-580-4952",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "08649",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merced, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.