NPIMap

Organization Active NPI

Central Valley Vein and Laser Center, a Medical Group

  • Surgery Physician
  • Fresno, CA
National Provider Identifier
1891852562
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
00C372670 Issued in CA
Legal business name
CENTRAL VALLEY VEIN AND LASER CENTER, A MEDICAL GROUP
Practice address
7131 N 11TH St Ste 101
Fresno, CA 93720-3375
Phone
(559) 435-0717
Fax
(559) 435-9105
NPI assigned
Jan 2, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Frederick A Elmore, MDNPI 1669539318
Title
MD
Phone
(559) 435-0717

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 00C372670 CA Primary

Addresses

Primary practice location

7131 N 11TH St Ste 101
Fresno, CA 93720-3375

Mailing address

7131 N 11TH St Ste 101
Fresno, CA 93720-3375
Phone (559) 435-0717

Other names 1

  • Elmore Medical Vein & Laser Treatment Center, Inc. Doing business as

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": "1167696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1891852562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7131 N 11TH ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203375",
            "telephone_number": "559-435-0717",
            "fax_number": "559-435-9105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7131 N 11TH ST STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203375",
            "telephone_number": "559-435-0717",
            "fax_number": "559-435-9105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL VALLEY VEIN AND LASER CENTER, A MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELMORE",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "559-435-0717",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "00C372670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Elmore Medical Vein & Laser Treatment Center, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.