MEDICARE: CENTRAL VALLEY INDIAN HEALTH, 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	207Q00000X	Family Medicine Physician
2	261Q00000X	Clinic/Center	040000038	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1932329091
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTRAL VALLEY INDIAN HEALTH, INC

Provider Business Mailing Address
First Line	:	2740 HERNDON AVE
Second Line	:
City	:	CLOVIS
State	:	CA
Zip	:	93611-6813
Country	:	US
Telephone Number	:	559-299-4264
Fax Number	:	559-299-1421

Provider Business Practice Location Address
First Line	:	32938 ROAD 222
Second Line	:	SUITE 2
City	:	NORTH FORK
State	:	CA
Zip	:	93643-9562
Country	:	US
Telephone Number	:	559-299-4264
Fax Number	:	559-299-1421

Authorized Official
Title or Position	:	COO
Name	:	JULIE A RAMSEY
Credential	:
Telephone Number	:	559-299-2578

Provider Enumeration Date	:	04/30/2007
Last Update Date	:	05/13/2026

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