Valley Family Health Center Medical Group, Inc.

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

VALLEY FAMILY HEALTH CENTER MEDICAL GROUP, INC.

Doing business as

Maternal & Child Care Center

Practice address

3567 W Mt Whitney Ave
Riverdale, CA 93656

Phone

(559) 867-7200

Fax

(559) 867-0152

NPI assigned

Sep 27, 2006

Last updated

Oct 17, 2008By 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

Mr. Charles W Smith, FNP

Title

Coo

Phone

(559) 867-4416

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Maternal & Child Care Center Doing business as

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224201600000",
    "number": "1922199488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 543",
            "city": "RIVERDALE",
            "state": "CA",
            "postal_code": "936560543",
            "telephone_number": "559-867-4416",
            "fax_number": "559-867-3010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3567 W MT WHITNEY AVE",
            "city": "RIVERDALE",
            "state": "CA",
            "postal_code": "93656",
            "telephone_number": "559-867-7200",
            "fax_number": "559-867-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY FAMILY HEALTH CENTER MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2008-10-17",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "559-867-4416",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "RHM03932F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HAP03932F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maternal & Child Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mandeep Kaur Sidhu, NP
• Benjamin D Simpson, P.A.
• Tomer Drug Inc
• Valley Family Health Center (Maternal & Child Care Center)
• Valley Family Health Center Medical Group, Inc. (Maternal & Child Care Center)
• Yonas Worku

• Rural Health Clinic/Center in Riverdale, CA
• Providers in Riverdale, CA by specialty
• Rural Health Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2008; 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.