NPI Code Detail JSON Logo

1548122948 NPI number — CENTRAL VALLEY HOSPICE PALLIATIVE MEDICINE PROFESSIONAL CORPORATION

NPI Number: 1548122948
Health Care Provider/Practitioner: CENTRAL VALLEY HOSPICE PALLIATIVE MEDICINE PROFESSIONAL CORPORATION

Information about “1548122948” NPI (CENTRAL VALLEY HOSPICE PALLIATIVE MEDICINE PROFESSIONAL CORPORATION) exists in 1548122948 in HTML format HTML  |  1548122948 in plain Text format TXT  |  1548122948 in PDF (Portable Document Format) PDF  |  1548122948 in an XML format XML  formats.

NPI Number : 1548122948 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1548122948",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CENTRAL VALLEY HOSPICE PALLIATIVE MEDICINE PROFESSIONAL CORPORATION",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1805 E FIR AVE STE 104",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "FRESNO",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "93720-3859",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "559-779-1888",
    "MailingAddressFaxNumber": "502-496-0152",
    "FirstLinePracticeLocationAddress": "1805 E FIR AVE STE 104",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "FRESNO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "93720-3859",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "559-779-1888",
    "PracticeLocationAddressFaxNumber": "502-496-0152",
    "EnumerationDate": "11/25/2025",
    "LastUpdateDate": "12/18/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GRANDHE",
    "AuthorizedOfficialFirstName": "SUNDEEP",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "PRESIDENT/MEDICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD, FAAHPM",
    "AuthorizedOfficialTelephoneNumber": "559-779-1888",
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "251S00000X",
          "TaxonomyName": "Community/Behavioral Health Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "251B00000X",
          "TaxonomyName": "Case Management Agency",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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