VALLEY WIDE MEDICAL GROUP INC (NPI# 1023295458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023295458 |
| Entity Type | Organization |
| Organization Name | VALLEY WIDE MEDICAL GROUP INC |
| Practice Address |
12500 Boron Ave Boron CA 93730 |
| Practice Telephone | 7607625111 |
| Practice Fax Number | 7607625695 |
| Mailing Telephone | 7607625111 |
| Mailing Fax Number | 7607625695 |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | PRABHAKAR TUMMALA (PRESIDENT) |
| Authorized Official Telephone | 9099457687 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A89858 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
12500 BORON AVE |
| City | BORON |
| State | CA |
| Zip Code | 93730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780639344 | Prabhakar Tummala | Emergency Medicine | 12500 Boron Ave, Boron, CA 93516-1647 | 2006-05-23 |
| 1952655946 | Sivalingam Medical Corporation, Inc | Internal Medicine | 12500 Boron Ave, Boron, CA 93516-1647 | 2012-10-30 |
| 1821282104 | 7 Hills Health Services | Clinical Medical Laboratory | 12500 Boron Ave, Boron, CA 93516-1647 | 2007-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114449055 | Tina Sakha | Pharmacist | 1027 E Carnoustie Ave, Fresno, CA 93730 | 2017-07-12 |
| 1730558305 | Advanced Specialty Care | Internal Medicine | 1681 E. Banwell Lane, Fresno, CA 93730 | 2015-09-24 |
| 1316356132 | Eliana Torquido | Pharmacist | 2020 E. Copper Ave, Fresno, CA 93730 | 2014-08-06 |
| 1821384785 | Chad J. Anderson D.m.d. Inc | Dentist | 9497 N. Fort Washington Rd., Suite 106, Fresno, CA 93730 | 2011-06-20 |
| 1528118650 | Catherine Antoinette Lambetecchio | Dentist | 9495 N Fort Washington Rd, Suite 101, Fresno, CA 93730 | 2007-01-11 |
| 1306073762 | Thrifty Payless Inc | Durable Medical Equipment & Medical Supplies | 2020 East Copper Avenue, Fresno, CA 93730-0000 | 2009-06-12 |
| 1417225228 | Alfredo Rodriguez Abrams, Dmd, Inc. | Dentist | 9495 N Fort Washington Rd Ste 104, Fresno, CA 93730-0605 | 2011-12-07 |
| 1457986986 | Got Sleep Inc | Clinic/Center | 9497 N Fort Washington Rd Ste 103, Fresno, CA 93730-0606 | 2020-03-04 |
| 1770777260 | Monica J Dibble | Respiratory Therapist, Registered | 814 E Ridgecrest Dr, Fresno, CA 93730-0615 | 2007-08-28 |
| 1104113356 | Irving Barry Dimont | Physical Therapist | 797 E Ridgecrest Dr, Fresno, CA 93730-0616 | 2011-07-07 |
| Find all providers in zip 93730 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
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| 1245838879 | Lalaine Talagtag Smith | Family Medicine | 919 Mariner Dr Apt C, Mountain View, CA 94043-3372 | 2020-10-15 |
| 1417554023 | Hameed A. Khan, M.d., Inc. | Family Medicine | 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 | 2020-10-06 |
| 1073120085 | Garrison Family Medical Group Inc | Family Medicine | 41210 11th St W Ste C, Palmdale, CA 93551-1447 | 2020-09-24 |
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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.