Organization Active NPI

Valley Urology Inc

  • Urology Physician
  • Fresno, CA
National Provider Identifier
1952417438
Registry record updated Mar 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
VALLEY UROLOGY INC
Practice address
6113 N Fresno St
Suite 101
Fresno, CA 93710-5207
Phone
(559) 438-2777
Fax
(559) 438-4117
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2019

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

Authorized official

Name
Dr. Harold Greg Rainwater, MDNPI 1790780658
Title
Owner
Phone
(559) 438-2777

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
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

6113 N Fresno St
Suite 101
Fresno, CA 93710-5207

Mailing address

6113 N Fresno St
Suite 101
Fresno, CA 93710-5207
Phone (559) 438-2777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060914000381 CA Part B Supplier - Clinic/Group Practice 2567466022 Receives reassigned benefits from 4 practitioners
Practice locations: Fresno, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1070679Valley Urology Inc6113 N Fresno St, Ste 101, Fresno, CA 93710ComplianceAug 18, 2027

National Provider Directory

National Provider Directory

Locations

6113 N Fresno St
Fresno, CA 93710
Phone (559) 431-1737

6113 N Fresno St
Ste 101
Fresno, CA 93710
Phone (559) 431-8500

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70009

Practitioners & affiliated clinicians

Practitioners 5

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": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553731200000",
    "number": "1952417438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6113 N FRESNO ST",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105207",
            "telephone_number": "559-438-2777",
            "fax_number": "559-438-4117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6113 N FRESNO ST",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105207",
            "telephone_number": "559-438-2777",
            "fax_number": "559-438-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY UROLOGY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2019-03-28",
        "status": "A",
        "authorized_official_last_name": "RAINWATER",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_middle_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-438-2777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.