VALLEY NEPHROLOGY MEDICAL GROUP
NPI 1063618296
Internal Medicine - Nephrology in Fresno, CA

Q: What is the provider's specialty?

The provider's specialty is Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

Active since June 25, 2007

1313 E HERNDON AVE, SUITE 105, FRESNO, CA 93720(559) 448-8481(559) 448-0996 Get Directions Write a Review

NPPES record last updated: January 16, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Valley Nephrology Medical Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VALLEY NEPHROLOGY MEDICAL GROUP (NPI 1063618296) is a healthcare organization registered as a nephrology in Fresno, California and active in the NPI registry since June 2007. The organization lists Leonor Q Garbutt, Office Administrator, as its authorized official.

NPPES Registry Identity

NPI1063618296

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameVALLEY NEPHROLOGY MEDICAL GROUP

Location Address1313 E HERNDON AVE, SUITE 105Fresno, CA 93720-3306

Mailing Address1313 E Herndon Ave, Suite 105Fresno, CA 93720-3306 · (559) 448-8481 · Fax (559) 448-0996

Phone(559) 448-8481

Fax(559) 448-0996

Organization SubpartNo

Authorized OfficialLeonor Q GarbuttOffice Administrator · (559) 448-8481

Enumeration DateJune 25, 2007

Last NPPES UpdateJanuary 16, 2009

✔ NPI 1063618296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in CA · G13844

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1313 E HERNDON AVE, Fresno, CA 93720

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Other Identifiers 7

MedicaidGR0023120CA

Medicare PIN00G138440CA

OtherG13844CA · State License

Medicare UPINA39103CA

Medicare PIN00G138442CA

Medicare PINZZZ99970ZCA

Medicaid00G138440CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP