VIDA DEL VALLE MEDICAL CENTER (NPI# 1467883611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467883611 |
| Entity Type | Organization |
| Organization Name | VIDA DEL VALLE MEDICAL CENTER |
| Practice Address |
3121 E Olive Ave Fresno CA 93702-1030 |
| Practice Telephone | 5593494146 |
| Mailing Telephone | 5593494146 |
| Enumeration Date | 2013-12-12 |
| Last Update Date | 2013-12-12 |
| Authorized Official Name | DR. HIPOLITO G MARIANO JR. (PRESIDENT) |
| Authorized Official Telephone | 5593494146 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
A88903 | CA | Ambulatory Health Care Facilities |
| Street Address |
3121 E OLIVE AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93702-1030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376685685 | Hipolito Gallardo Mariano Jr. | Pediatrics | 3121 E Olive Ave, Fresno, CA 93702-1030 | 2007-02-13 |
| 1598366296 | Abigail Ellery Meredith | Nurse Practitioner | 3121 E Olive Ave, Fresno, CA 93702-1030 | 2020-11-08 |
| 1891116430 | Family Physicians Laboratories,inc. | Clinical Medical Laboratory | 3121 E Olive Ave, Fresno, CA 93702-1030 | 2013-12-28 |
| 1144451659 | Hipolito G. Mariano, Jr., Md, Inc. | Clinic/Center | 3121 E Olive Ave, Fresno, CA 93702-1030 | 2009-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730644543 | Brandy Eugena Dickey | Licensed Vocational Nurse | 496 S. Barton St., Fresno, CA 93702 | 2019-02-06 |
| 1205308269 | Kelly Ramirez | Counselor | 496 S. Barton St, Fresno, CA 93702 | 2018-12-31 |
| 1518437995 | Kimberlin Ann Klein | Licensed Vocational Nurse | 4411 E Kings Canyon Rd #319, Fresno, CA 93702 | 2018-11-28 |
| 1932677317 | Simone Danielle Cato | Counselor | 496 S Barton St, Fresno, CA 93702 | 2018-11-05 |
| 1558879841 | Mekdes Elizabeth Yilma | Marriage & Family Therapist | 4144 E. Kings Canyon Rd., Fresno, CA 93702 | 2018-01-20 |
| 1831647874 | Rick Foster | Registered Nurse | 441 East Kings Canyon Ave, Fresno, CA 93702 | 2016-09-20 |
| 1770935140 | Diana L. Eaglin | Registered Nurse | 4409 E. Inyo St., Modular A, Fresno, CA 93702 | 2016-07-08 |
| 1700257243 | Elizabeth Lee | Registered Nurse | 4411 E.kings Canyon Rd, Fresno, CA 93702 | 2015-10-09 |
| 1548657299 | Brandi Lynn Rieux | Counselor | 496 S. Barton Ave, Fresno, CA 93702 | 2015-04-21 |
| 1891069548 | Tamara Taylor | Case Manager/Care Coordinator | 890 S. Tenth Street, Fresno, CA 93702 | 2012-02-28 |
| Find all providers in zip 93702 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
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| 1023062593 | Planned Parenthood Mar Monte, Inc | Clinic/Center | 6095 N 1st St, Fresno, CA 93710-5444 | 2006-05-20 |
| 1649238692 | Fresno Community Hospital and Medical Center | Clinic/Center | 1925 E Dakota Ave, Fresno, CA 93726-4821 | 2006-05-01 |
| 1033627179 | Greater Fresno Health Organization, Inc. | Clinic/Center | 4770 N Cedar Ave, Fresno, CA 93726-1065 | 2018-01-10 |
| 1528115292 | Nationwide Medical Group, Inc | Clinic/Center | 3707 E Shields Ave, Fresno, CA 93726-7029 | 2007-01-04 |
| 1922025857 | San Anwar Fahmy Gabriel | Clinic/Center | 1180 E Shaw Ave, Suit 101, Fresno, CA 93710-7812 | 2006-07-16 |
| 1790739126 | Planned Parenthood Mar Monte, Inc | Clinic/Center | 650 N Fulton St, Fresno, CA 93728-3404 | 2006-05-20 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.