Organization Active NPI

Valley Medical Plaza Ambulatory

  • Ambulatory Surgical Clinic/Center
  • Fresno, CA
National Provider Identifier
1992794580
Registry record updated May 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
VALLEY MEDICAL PLAZA AMBULATORY
Practice address
1680 E Herndon Ave
Suite 101
Fresno, CA 93720-3305
Phone
(559) 432-4200
Fax
(559) 432-0147
NPI assigned
Oct 17, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2011

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

Authorized official

Name
Dr. Chad Sherwood Reder, MDNPI 1336138924
Title
Surgical Director
Phone
(559) 432-4200

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 040000241 CA
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1680 E Herndon Ave
Suite 101
Fresno, CA 93720-3305

Mailing address

1680 E Herndon Ave
Suite 101
Fresno, CA 93720-3305
Phone (559) 432-4200

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": "1129507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1304553600000",
    "number": "1992794580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 E HERNDON AVE",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203305",
            "telephone_number": "559-432-4200",
            "fax_number": "559-432-0147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1680 E HERNDON AVE",
            "address_2": "SUITE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203305",
            "telephone_number": "559-432-4200",
            "fax_number": "559-432-0147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MEDICAL PLAZA AMBULATORY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-17",
        "last_updated": "2011-05-05",
        "status": "A",
        "authorized_official_last_name": "REDER",
        "authorized_official_first_name": "CHAD",
        "authorized_official_middle_name": "SHERWOOD",
        "authorized_official_title_or_position": "SURGICAL DIRECTOR",
        "authorized_official_telephone_number": "559-432-4200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "040000241",
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "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 May 5, 2011; 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.