CENTRAL VALLEY MULTISPECIALTY MEDICAL GROUP, INC. (NPI# 1689983967) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689983967 |
| Entity Type | Organization |
| Organization Name | CENTRAL VALLEY MULTISPECIALTY MEDICAL GROUP, INC. |
| Practice Address |
20647 Malsbary St Riverdale CA 93656-9208 |
| Mailing Address |
Po Box 217 Riverdale CA 93656-0217 |
| Practice Telephone | 5598674416 |
| Mailing Telephone | 5598674416 |
| Enumeration Date | 2010-10-04 |
| Last Update Date | 2010-10-04 |
| Authorized Official Name | BRENTON SMITH (PRESIDENT/C.E.O.) |
| Authorized Official Telephone | 5598674416 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
| Street Address |
20647 MALSBARY ST |
| City | RIVERDALE |
| State | CA |
| Zip Code | 93656-9208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669994406 | Arete Moraine Arredondo | Registered Nurse | 3554 West Mt. Whitney Ave, Riverdale, CA 93656 | 2017-07-13 |
| 1154736429 | Avenal Community Health Center | Clinic/Center | 3554 W. Mt. Whitney Avenue, Riverdale, CA 93656 | 2014-06-25 |
| 1821418468 | Christopher Charles Richardson I | Internal Medicine | 3567 W Mount Whitney Ave, Riverdale, CA 93656 | 2014-04-22 |
| 1679819742 | Reedley Community Hospital | Clinic/Center | 3567 Mt. Whitney Avenue, Riverdale, CA 93656 | 2012-12-18 |
| 1922140946 | Sonea Qureshi | Pediatrics | 3567 W. Mt. Whitney Ave., Riverdale, CA 93656 | 2007-02-13 |
| 1922199488 | Valley Family Health Center Medical Group, Inc. | Clinic/Center | 3567 W Mt Whitney Ave, Riverdale, CA 93656 | 2006-09-27 |
| 1275181877 | Yonas Worku | Physician Assistant | 3567 Mt. Whitney Avenue, Riverdale, CA 93656 | 2019-08-28 |
| 1013224369 | Benjamin D Simpson | Physician Assistant | 3567 W. Mt. Whitney Ave., Riverdale, CA 93656 | 2010-09-08 |
| 1124273933 | Nelson Dexter Weed Jr. | General Practice | 3567 W. Mt. Whitney Ave., Riverdale, CA 93656 | 2008-11-20 |
| 1609077684 | Valley Family Health Center | Clinic/Center | 3567 W Mt Whitney Ave, Riverdale, CA 93656 | 2007-05-29 |
| Find all providers in zip 93656 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619398401 | Thomas Richard Walker | General Practice | 4700 River Rd, Riverdale, MD 20737-1228 | 2013-12-20 |
| 1508174145 | Eric Allen Scheinbart | General Practice | 34 Upper Riverdale Rd, Ste 100, Riverdale, GA 30274 | 2010-09-16 |
| 1124273933 | Nelson Dexter Weed Jr. | General Practice | 3567 W. Mt. Whitney Ave., Riverdale, CA 93656 | 2008-11-20 |
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| 1508980954 | Patricia Lee Benton | General Practice | 6525 Professional Pl, Suite C, Riverdale, GA 30274-2519 | 2007-03-19 |
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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.