CENTRAL VALLEY CRITICAL CARE MEDICINE - A PROFESSIONAL CORPORAT – NPI #1366829640
Internal Medicine

An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Health Care Provider Taxonomy Code for Internal Medicine

CENTRAL VALLEY CRITICAL CARE MEDICINE - A PROFESSIONAL CORPORAT is a provider located in VISALIA, CA. NPPES has assigned the NPI number 1366829640 to CENTRAL VALLEY CRITICAL CARE MEDICINE - A PROFESSIONAL CORPORAT on May 06, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207RC0200X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Critical Care Medicine

The NPI profile was previously updated about 3 years ago on Dec 20, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTRAL VALLEY CRITICAL CARE MEDICINE - A PROFESSIONAL CORPORAT below.

NPI Profile for
CENTRAL VALLEY CRITICAL CARE MEDICINE - A PROFESSIONAL CORPORAT

NPI Number
1366829640
Enumeration Date

(more than 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CENTRAL VALLEY CRITICAL CARE MEDICINE - A PROFESSIONAL CORPORAT
Primary location
400 W MINERAL KING AVE
VISALIA, CA 93291
Phone: (559) 624-2000 Fax:
2 Other location(s):
115 Mall Dr
Hanford, CA 93230-5786
Phone: (559) 582-9000
465 W Putnam Ave
Porterville, CA 93257-3320
Phone: (559) 784-1110
Mailing address
5211 W GOSHEN AVE
PMB 326
VISALIA, CA 93291-8619
Phone: (559) 802-5596 Fax: (559) 802-5816
Organization Subpart
No
Authorized Official
VISHNU BEZWADA
CEO
Phone: (617) 272-5589
Updated
Certification Date
Dec 20, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0200X
- Internal Medicine / Critical Care Medicine (Primary)		 CA C50351

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.