MEDICARE: VALLEY REGIONAL ANESTHESIA ASSOCIATES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician

General Provider Information

NPI Number	:	1578272415
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VALLEY REGIONAL ANESTHESIA ASSOCIATES INC

Provider Business Mailing Address
First Line	:	PO BOX 746212
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90074-2612
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9479 N FORT WASHINGTON RD STE 103
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93730-5939
Country	:	US
Telephone Number	:	559-289-4574
Fax Number	:	559-420-0389

Authorized Official
Title or Position	:	OWNER
Name	:	JOSEPH MARTIN
Credential	:	CRNA
Telephone Number	:	559-289-4574

Provider Enumeration Date	:	11/18/2022
Last Update Date	:	04/23/2026

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