Healthcare Provider Details

I. General information

NPI: 1548122948
Provider Name (Legal Business Name): CENTRAL VALLEY HOSPICE PALLIATIVE MEDICINE PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/25/2025
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1805 E FIR AVE STE 104
FRESNO CA
93720-3859
US

IV. Provider business mailing address

1805 E FIR AVE STE 104
FRESNO CA
93720-3859
US

V. Phone/Fax

Practice location:
  • Phone: 559-779-1888
  • Fax: 502-496-0152
Mailing address:
  • Phone: 559-779-1888
  • Fax: 502-496-0152

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: DR. SUNDEEP GRANDHE
Title or Position: PRESIDENT/MEDICAL DIRECTOR
Credential: MD, FAAHPM
Phone: 559-779-1888