VALLEY CARDIAC SURGERY MEDICAL GROUP (NPI# 1609983220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609983220 |
| Entity Type | Organization |
| Organization Name | VALLEY CARDIAC SURGERY MEDICAL GROUP |
| Practice Address |
1111 E Herndon Ave Suite 308 Fresno CA 93720 |
| Practice Telephone | 5592619060 |
| Practice Fax Number | 5592619073 |
| Mailing Telephone | 5592619060 |
| Mailing Fax Number | 5592619073 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. DUANE OSWALD (CEO) |
| Authorized Official Telephone | 5592619060 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Allopathic & Osteopathic Physicians |
| Street Address |
1111 E HERNDON AVE SUITE 308 |
| City | FRESNO |
| State | CA |
| Zip Code | 93720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336180603 | Michael Kenichi Hayashi | Optometrist | 1111 E Herndon Ave, Suite 101, Fresno, CA 93720-3100 | 2006-06-09 |
| 1588038913 | Lifetime Optometric | Optometrist | 1111 E Herndon Ave, Suite 101, Fresno, CA 93720-3100 | 2015-11-23 |
| 1245452184 | Rick S Aaronian | Dentist | 1111 E Herndon Ave, Ste 104, Fresno, CA 93720-3100 | 2007-05-02 |
| 1669596045 | Avante Behavioral Health | Exclusive Provider Organization | 1111 E Herndon Ave, Suite 308, Fresno, CA 93720 | 2007-03-19 |
| 1952425332 | Avante Health | Exclusive Provider Organization | 1111 E Herndon Ave, Suite 308, Fresno, CA 93720 | 2007-03-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639304462 | Richard D Gregory Md Inc A Professional Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1241 E Alluvial Ave, 101, Fresno, CA 93720-2686 | 2009-05-22 |
| 1740269752 | Peter Lawrence Birnbaum | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1377 E Herndon Ave, Suite 104, Fresno, CA 93720-3022 | 2006-01-10 |
| 1942289962 | Richard Donald Gregory | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1377 E Herndon Ave Ste 104, Fresno, CA 93720-3022 | 2006-01-10 |
| 1780929406 | Saint Agnes Medical Providers Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1377 E Herndon Ave, Suite 104, Fresno, CA 93720-3022 | 2012-12-06 |
| 1518055441 | Joe Randolph Bolton | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1377 E Herndon Ave, #104, Fresno, CA 93720-3022 | 2006-10-10 |
| 1912015504 | Paul Stefanacci | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2365 E Fir Ave, Fresno, CA 93720-8016 | 2006-08-25 |
| 1659350668 | Robert D Stewart | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 30 E River Park Pl W, #260, Fresno, CA 93720-1545 | 2006-01-10 |
| 1679570527 | Shamsuddin Khwaja | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1201 E Herndon Ave, Valley Cardiac Surgery, Suite 107, Fresno, CA 93720-3238 | 2005-07-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598370728 | North County Cvt Surgery Associates | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3156 Vista Way Ste 100, Oceanside, CA 92056-3694 | 2020-09-14 |
| 1417560756 | Valiana Vascular Institute Inc. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2501 E Chapman Ave Ste 220, Fullerton, CA 92831-3108 | 2020-08-26 |
| 1891252474 | Miguel Puig Md A Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1430 Esplanade Ste 10, Chico, CA 95926-3366 | 2019-03-01 |
| 1598247991 | Pavel V Petrik Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1331 W Avenue J Ste 203, Lancaster, CA 93534-2954 | 2018-08-31 |
| 1942797378 | Sharon A Bogerty Md Inc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 105 N Bascom Ave Ste 101b, San Jose, CA 95128-1811 | 2018-04-20 |
| 1992231112 | Samer Kanaan Md A Professional Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 27451 Los Altos, Suite 290, Mission Viejo, CA 92691 | 2017-05-08 |
| 1073065512 | Central California Chest Surgery | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 729 N Medical Center Dr W Ste 223, Clovis, CA 93611-6885 | 2016-11-01 |
| 1407214612 | George Arnold Mulder | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1150 Laurel St, Pasadena, CA 91103-2329 | 2016-02-02 |
| 1760849905 | Steven R Gundry Md Medical Corporation | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 555 E Tachevah Dr Ste 3w103, Palm Springs, CA 92262-5747 | 2016-01-19 |
| 1386018687 | Riyad Youssef Tarazi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9120 Judicial Dr, Apt 7522, San Diego, CA 92122-6700 | 2015-11-24 |
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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.