CENTRAL VALLEY CARDIOVASCULAR MEDICAL GROUP, INC (NPI# 1962750224) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962750224 |
| Entity Type | Organization |
| Organization Name | CENTRAL VALLEY CARDIOVASCULAR MEDICAL GROUP, INC |
| Practice Address |
777 E Hawkeye Ave Turlock CA 95380 |
| Mailing Address |
Po Box 4978 Modesto CA 95352-4978 |
| Practice Telephone | 2096688030 |
| Practice Fax Number | 2096688031 |
| Mailing Telephone | 2095754575 |
| Mailing Fax Number | 2095754598 |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2019-05-14 |
| Authorized Official Name | DR. REZA NAZARI (CEO) |
| Authorized Official Telephone | 2092505300 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
40507 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICARE | GO094A | 01 |
| CA | 1439840 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1108 Ward Avd, Bldg A, Patterson, CA 953638529 | 2096688030 | 2096688031 |
| 205 W Granger Ave, Modesto, CA 953504402 | 2096688030 | 2096688031 |
| 3150 G St Ste A, Merced, CA 953401346 | 2093852240 | 2093852241 |
| 600 W I St Ste A, Los Banos, CA 93635 | 2098264800 | 2098264810 |
| 777 E Hawkeye Ave, Turlock, CA 95380 | 2096688030 | 2096688031 |
| Street Address |
777 E HAWKEYE AVE |
| City | TURLOCK |
| State | CA |
| Zip Code | 95380 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265656417 | Fariba Amani | Internal Medicine | 777 E Hawkeye Ave, Turlock, CA 95380-7506 | 2007-04-12 |
| 1700032216 | Yohannes Abraham Gebreegziabher | Internal Medicine | 777 E Hawkeye Ave, Ste 3, Turlock, CA 95380-7506 | 2008-08-15 |
| 1215195557 | Reza Nazari | Internal Medicine | 777 E Hawkeye Ave, Suite 3, Turlock, CA 95380-7506 | 2008-05-22 |
| 1710183165 | Oussama I Dagher | Internal Medicine | 777 E Hawkeye Ave, Turlock, CA 95380-7506 | 2007-06-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780292094 | Nuelia S Pimnetel | Case Manager/Care Coordinator | 1916 Cali Ln Ct, Turlock, CA 95380 | 2020-07-22 |
| 1528608882 | Lidia Rocha | Emergency Medical Technician, Basic | 500 F St, Turlock, CA 95380 | 2020-01-14 |
| 1962980870 | Aspiranet | Community/Behavioral Health | 2907 W Linwood Ave, Turlock, CA 95380 | 2018-08-02 |
| 1194262865 | Creative Alternatives, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 1101 E. Greenway Avenue, Turlock, CA 95380 | 2017-01-19 |
| 1598013179 | Workplace Wellness | Community/Behavioral Health | 2101 Geer Road Ste 120, Turlock, CA 95380 | 2012-08-29 |
| 1053698233 | Jason Matthew Antonio | Specialist | 875 E Canal Dr Ste 1, Turlock, CA 95380 | 2011-11-15 |
| 1679850663 | Hyun Cho | Pharmacist | 1591 Geer Road, Turlock, CA 95380 | 2011-11-04 |
| 1942584560 | Kimberly Anne Franck | Counselor | 2513 Youngstown Road, Turlock, CA 95380 | 2011-09-30 |
| 1831384981 | Valley Care Medical Group, Inc | Clinic/Center | 777 Hawkeye Ave, Suite 3, Turklock, CA 95380 | 2007-09-12 |
| 1225256431 | Carole Martinelli Sevick | Marriage & Family Therapist | 430 Crane Avenue, Suite 105, Turlock, CA 95380 | 2007-04-23 |
| Find all providers in zip 95380 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
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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.