VALLEY CHILDREN'S PRIMARY CARE GROUP, INC. (NPI# 1598127409) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598127409 |
| Entity Type | Organization |
| Organization Name | VALLEY CHILDREN'S PRIMARY CARE GROUP, INC. |
| Other Organization Name | VALLEY CHILDREN'S PRIMARY CARE GROUP, INC. - SKYPARK |
| Practice Address |
4770 W Herndon Ave Suite 108 Fresno CA 93722-8401 |
| Mailing Address |
9300 Valley Childrens Pl Madera CA 93636-8761 |
| Practice Telephone | 5593538875 |
| Mailing Telephone | 5593533000 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |
| Authorized Official Name | DR. DAVID CHRISTENSEN (PRESIDENT) |
| Authorized Official Telephone | 5593533000 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | VALLEY CHILDREN'S PRIMARY CARE GROUP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Valley Children's Primary Care Group, Inc. - Skypark | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518332493 | Valley Children's Primary Care Group, Inc. | Pediatrics | 3636 N 1st St, Suite 120&121, Fresno, CA 93726-6800 | 2015-12-03 |
| 1477920197 | Valley Children's Primary Care Group, Inc. | Pediatrics | 300 Old River Rd, Suite 125, Bakersfield, CA 93311-9503 | 2015-08-28 |
| 1760877245 | Valley Children's Primary Care Group, Inc. | Pediatrics | 500 40th St, Bakersfield, CA 93301-1224 | 2015-04-01 |
| Street Address |
4770 W HERNDON AVE SUITE 108 |
| City | FRESNO |
| State | CA |
| Zip Code | 93722-8401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447247820 | Miriam Levitt | Physician Assistant | 4770 W Herndon Ave, Fresno, CA 93722-8401 | 2005-09-30 |
| 1255741567 | Uzoma Chukwu | Internal Medicine | 4770 W Herndon Ave, Suite 107, Fresno, CA 93722-8401 | 2014-05-08 |
| 1134329501 | Shelly A Kruse | Internal Medicine | 4770 W Herndon Ave, Fresno, CA 93722-8401 | 2007-07-23 |
| 1790982759 | Kumari Subrahmanyam Iyer | Internal Medicine | 4770 W Herndon Ave, Suite 107, Fresno, CA 93722-8401 | 2007-07-02 |
| 1134323439 | Evelyn Luz Roldan | Nurse Practitioner | 4770 W Herndon Ave, Fresno, CA 93722-8402 | 2007-06-12 |
| 1013037993 | Mary A Gonzalez-howard | Pediatrics | 4770 W Herndon Ave, Suite 108, Fresno, CA 93722-8401 | 2007-04-02 |
| 1255408001 | Luis Raul Sosa | Family Medicine | 4770 W Herndon Ave, Fresno, CA 93722-8401 | 2006-11-29 |
| 1083788541 | Betsy Ann Hill | Registered Nurse | 4770 W Herndon Ave, Suite 108, Fresno, CA 93722-8401 | 2006-11-17 |
| 1962573063 | Kammi Yap Sayaseng | Registered Nurse | 4770 W Herndon Ave, Suite 108, Fresno, CA 93722-8401 | 2006-11-11 |
| 1609954429 | Evelyn B. Maddela | Pediatrics | 4770 W Herndon Ave, 108, Fresno, CA 93722-8401 | 2006-11-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649871419 | Jay Galarza | Behavior Technician | 5490 N. Salinas Ave., Apt. L133, Fresno, CA 93722 | 2020-11-06 |
| 1609414291 | Edgar Torres Becerra | Counselor | 3793 N Polk, Fresno, CA 93722 | 2019-12-15 |
| 1780220822 | United Health Centers of The San Joaquin Valley | Clinic/Center | 6810 N Milburn Ave, Fresno, CA 93722 | 2019-11-25 |
| 1710545322 | Vijay S Dalvi | Pharmacist | 6055 N Brawley Ave, Apt 235, Fresno, CA 93722 | 2019-05-30 |
| 1205322047 | A Plus Home Health, Inc. | Home Health | 3455 W. Shaw Ave. # 107, Fresno (and Vicinity), CA 93722 | 2018-07-05 |
| 1891282018 | Danielle Morales | Case Manager/Care Coordinator | 2880 N Valentine Ave, Fresno, CA 93722 | 2018-04-13 |
| 1669981791 | Gabriela Miranda | Case Manager/Care Coordinator | 5467 N Carlsbad Ave, Fresno, CA 93722 | 2017-09-20 |
| 1811415508 | Vanessa Leite | Psychologist | 6157 N Figarden Dr #104, Fresno, CA 93722 | 2017-09-01 |
| 1821473935 | Premium Urgent Care, Inc. | Clinic/Center | 6643 N. Milburn Ave, Suite 104, Fresno, CA 93722 | 2015-07-30 |
| 1497157820 | Ordust Dialysis LLC | Clinic/Center | 6655 N Milburn Ave, Fresno, CA 93722 | 2014-09-17 |
| Find all providers in zip 93722 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609397405 | Devon Brooke Ward | Pediatrics | 4770 W Herndon Ave Ste 108, Fresno, CA 93722-8401 | 2017-06-30 |
| 1871024091 | Ali S Arastu | Pediatrics | Valley Children's Hospital, 9300 Valley Children's Place, Fresno, CA 93720 | 2017-03-21 |
| 1811351992 | Paulinder Ranu | Pediatrics | 5557 E King Cyn Rd, Fresno, CA 93727 | 2016-04-05 |
| 1811398712 | Cathy Xu Md | Pediatrics | 4646 N 1st St, Ste 102, Fresno, CA 93726-0973 | 2014-09-10 |
| 1073860680 | Gulafsha Chaudhary | Pediatrics | 7720 N Fresno St Ste 104, Fresno, CA 93720-2407 | 2012-08-14 |
| 1487919155 | Trenton Ross Hubbard | Pediatrics | 1125 E Spruce Ave Ste 101, Fresno, CA 93720-3387 | 2012-07-09 |
| 1356641013 | Janelle Fong | Pediatrics | 5088 N. Fresno St, Suite A, Fresno, CA 93710 | 2010-10-28 |
| 1194965806 | Lynda Margaret Dickerson Khouzam | Pediatrics | 1684 W Shaw Ave, Suite 101, Fresno, CA 93711-3517 | 2009-02-20 |
| 1396921482 | Valley Children's Medical Center, A.m.c. | Pediatrics | 4646 N 1st St Ste 102, Fresno, CA 93726-0973 | 2008-01-18 |
| 1982808846 | Nicole Tere Banh | Pediatrics | 7055 N Chestnut Ave Ste 106, Fresno, CA 93720-0350 | 2007-06-13 |
| Find all providers in FRESNO | ||||
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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.