Central Valley Cardiovascular Medical Group, Inc

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

40507 Issued in CA

Legal business name

CENTRAL VALLEY CARDIOVASCULAR MEDICAL GROUP, INC

Practice address

1508 Colorado Ave
Turlock, CA 95380-2711

Phone

(209) 668-8030

Fax

(209) 668-8031

NPI assigned

Aug 16, 2012

Last updated

Mar 24, 2025By 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

Dr. Reza Nazari, M.D.NPI 1215195557

Title

Ceo

Phone

(209) 602-6684

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

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

CLIA laboratory certificates

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Reza Nazari, MD

  • Cardiovascular Disease Physician
  • Turlock, CA
  • NPI 1215195557
  Medicare reassignment Care Compare group NPD Authorized official
• Fariba Amani, MD

  • Cardiovascular Disease Physician
  • Turlock, CA
  • NPI 1265656417
  Medicare reassignment Care Compare group NPD
• Oussama I Dagher, MD

  • Cardiovascular Disease Physician
  • Turlock, CA
  • NPI 1710183165
  Medicare reassignment Care Compare group NPD
• Yohannes Abraham Gebreegziabher, M.D.

  • Cardiovascular Disease Physician
  • Turlock, CA
  • NPI 1700032216
  Medicare reassignment Care Compare group NPD
• Lina M Ya'Qoub, MD

  • Interventional Cardiology Physician
  • Reno, NV
  • NPI 1578940862

  CA

  Medicare reassignment Care Compare group NPD
• Giuliano Baron, PT

  • Physical Therapist
  • Palo Alto, CA
  • NPI 1275923757
  NPD (past)
• Ethelind Cacho Cahigas, PT

  • Physical Therapist
  • Tracy, CA
  • NPI 1336388644
  NPD (past)
• Judy Cai, P.T., D.P.T.

  • Physical Therapist
  • Los Banos, CA
  • NPI 1316306533
  NPD (past)
• Jessica Damaris Cordero

  • Physical Therapist
  • Sacramento, CA
  • NPI 1891254710
  NPD (past)
• Mikel Chad Deland, PT, DPT, OCS

  • Physical Therapist
  • Fresno, CA
  • NPI 1790014405
  NPD (past)
• Glenn Ernest Fabian

  • Physical Therapist
  • Los Banos, CA
  • NPI 1013307610
  NPD (past)
• Marlou Russel Soriano Garces Jr., DPT

  • Physical Therapist
  • Los Banos, CA
  • NPI 1396427977

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1345075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742774400000",
    "number": "1962750224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4978",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953524978",
            "telephone_number": "209-575-4575",
            "fax_number": "209-575-4598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1508 COLORADO AVE",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953802711",
            "telephone_number": "209-668-8030",
            "fax_number": "209-668-8031"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 W I St Ste A",
            "address_purpose": "LOCATION",
            "city": "Los Banos",
            "state": "CA",
            "postal_code": "93635",
            "country_code": "US",
            "telephone_number": "209-826-4800",
            "fax_number": "209-826-4810",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1108 WARD AVD",
            "address_2": "BLDG A",
            "address_purpose": "LOCATION",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953638529",
            "country_code": "US",
            "telephone_number": "209-668-8030",
            "fax_number": "209-668-8031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3150 G St Ste A",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953401346",
            "country_code": "US",
            "telephone_number": "209-385-2240",
            "fax_number": "209-385-2241",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "205 W Granger Ave",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953504402",
            "country_code": "US",
            "telephone_number": "209-668-8030",
            "fax_number": "209-668-8031",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 E Hawkeye Ave",
            "address_purpose": "LOCATION",
            "city": "Turlock",
            "state": "CA",
            "postal_code": "95380",
            "country_code": "US",
            "telephone_number": "209-668-8030",
            "fax_number": "209-668-8031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CENTRAL VALLEY CARDIOVASCULAR MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-16",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A",
        "authorized_official_last_name": "NAZARI",
        "authorized_official_first_name": "REZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "209-602-6684",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "CA",
            "license": "40507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "GO094A",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1439840",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alicia Ceja-Garcia
• Center for Human Services
• Center for Human Services
• Central Cal Orthopedic Medical Associates, Inc.
• Central California Anesthesia & Pain Management Associates
• Central Valley Dermatology Medical Group, a Professional Corporation (Central Valley Dermatology Medical Group)
• Central Valley Gastroenterology Associates, Inc
• Cep America - California (Vituity)
• Natasha Cerrillo, LMFT BCBA
• Erika Cervantes

• Medical Specialty Clinic/Center in Turlock, CA
• Providers in Turlock, CA by specialty
• Medical Specialty Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.