CENTRAL VALLEY ORTHOPAEDIC SPECIALISTS MEDICAL GROUP, INC (NPI# 1194935296) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194935296 |
| Entity Type | Organization |
| Organization Name | CENTRAL VALLEY ORTHOPAEDIC SPECIALISTS MEDICAL GROUP, INC |
| Practice Address |
1901 N California St Stockton CA 95204-6005 |
| Practice Telephone | 2099481641 |
| Practice Fax Number | 2099480660 |
| Mailing Telephone | 2099481641 |
| Mailing Fax Number | 2099480660 |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. JANA VALDEZ (ADMINISTRATOR) |
| Authorized Official Telephone | 2099481641 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XP3100X |
Orthopaedic Surgery Specialization: Pediatric Orthopaedic Surgery |
CA | Allopathic & Osteopathic Physicians |
| Street Address |
1901 N CALIFORNIA ST |
| City | STOCKTON |
| State | CA |
| Zip Code | 95204-6005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467410555 | Peter Allan Tuxen | Surgery | 1901 N California St, Stockton, CA 95204-6005 | 2006-05-01 |
| 1215495635 | Melissa J London | Physician Assistant | 1901 N California St, Stockton, CA 95204-6005 | 2019-03-05 |
| 1548743800 | Sin Yee Leung | Physician Assistant | 1901 N California St, Stockton, CA 95204-6005 | 2018-09-12 |
| 1609196419 | Shawn S Fu | Surgery | 1901 N California St, Stockton, CA 95204-6005 | 2010-06-03 |
| 1518190958 | Dignity Health Medical Foundation | Clinic/Center | 1901 N California St, Stockton, CA 95204-6005 | 2009-09-02 |
| 1922231422 | Dignity Health Medical Foundation | Clinic/Center | 1901 N California St, Stockton, CA 95204-6005 | 2009-08-31 |
| 1619113925 | Deandrea Sims | Surgery | 1901 N California St, Stockton, CA 95204-6005 | 2008-12-17 |
| 1154548626 | Gauravjit Singh | Radiology | 1901 N California St, Stockton, CA 95204-6005 | 2007-04-19 |
| 1558584466 | Renee H Kramer | Nurse Practitioner | 1901 N California St, Stockton, CA 95204-6005 | 2007-04-10 |
| 1033298724 | Paul H. Lee | Urology | 1901 N California St, Stockton, CA 95204-6005 | 2006-11-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1831730555 | Ronnie C Murray | Counselor | 1947 North California Street, Stockton, CA 95204 | 2019-10-03 |
| 1235614116 | Michelle Ann Horn | Marriage & Family Therapist | 3666 Mission Rd, Stockton, CA 95204 | 2018-09-26 |
| 1356830947 | Stockton Pace | PACE Provider Organization | 582 E. Harding Way, Stockton, CA 95204 | 2018-05-09 |
| 1790228781 | Rebecca Phongsa | Counselor | 1947 North Calfornia Street, Suite B, Stockton, CA 95204 | 2016-11-23 |
| 1700332905 | Serim Kang | Driver | 4222 N Pershing Ave, Suite D2, Stockton, CA 95204 | 2016-08-28 |
| 1033565544 | Philip John Brereton | Orthotist | 466 E Harding Way, Stockton, CA 95204 | 2016-05-13 |
| 1932507522 | David Grayson | Counselor | 1621 Brookside Rd, Stockton, CA 95204 | 2014-12-12 |
| 1174934897 | Gurtej Malhi | Internal Medicine | 1901 N California Street, Stockton, CA 95204 | 2014-05-15 |
| 1396156170 | Rajesh Saini | Nurse Practitioner | 1805 N California St. Suite 102, Stockton, CA 95204 | 2014-05-14 |
| Find all providers in zip 95204 | ||||
| Taxonomy Code | 207XP3100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Pediatric Orthopaedic Surgery |
| An orthopedic surgeon who has additional training and experience in diagnosing, treating and managing musculoskeletal problems in infants, children and adolescents. These may include limb and spine deformities (such as club foot, scoliosis); gait abnormalities (limping); bone and joint infections; broken bones. |
| Notes: Source: American Academy of Pediatrics, www.aap.org [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114005352 | Alpine Orthopaedic Medical Group Inc | Orthopaedic Surgery | 2488 N. California St, Stockton, CA 95204-5508 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154676559 | Michael Stuart Gurvey | Orthopaedic Surgery | 2390 Crombie Ct, Thousand Oaks, CA 91361-5322 | 2012-07-21 |
| 1447573779 | Darvin Charles Foo | Orthopaedic Surgery | 2425 Stockton Blvd Fl 7, Sacramento, CA 95817-2215 | 2010-03-01 |
| 1770793853 | Munir M Uwaydah | Orthopaedic Surgery | 211 S Maclay Ave, San Fernando, CA 91340-3603 | 2007-05-23 |
| 1689894057 | Lawrence Stephen Guinney | Orthopaedic Surgery | 4730 Hoen Ave, Santa Rosa, CA 95405-7868 | 2007-04-26 |
| 1275752602 | Richard Ros Ross Riddell | Orthopaedic Surgery | 20 N Vista De Catalina, Laguna Beach, CA 92651-6755 | 2007-04-24 |
| 1487700738 | James Gibson Gamble | Orthopaedic Surgery | 800 Welch Rd, Suite 212, Palo Alto, CA 94304-1607 | 2007-01-26 |
| 1801962360 | William Oppenheim | Orthopaedic Surgery | 10945 Le Conte Avenue, Rm 3355 Ubberoth Bldg Department of Orthopaedic Surgery, Los Angeles, CA 90095-6902 | 2006-11-27 |
| 1528179793 | Regents of The University of California | Orthopaedic Surgery | 100 Medical Plaza Suite 755, Los Angeles, CA 90095-0001 | 2006-08-31 |
| 1215948740 | Leah M Pike | Orthopaedic Surgery | 3742 Katella Ave, 303, Los Alamitos, CA 90720-3102 | 2006-08-10 |
| 1912962556 | Jeffrey Scott Kanel | Orthopaedic Surgery | 340 Dardanelli Ln Ste 10, Los Gatos, CA 95032-1418 | 2006-04-18 |
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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.