CENTRAL VALLEY ENT MEDICAL GROUP INC
NPI 1447369566
Specialist in Modesto, CA

Active since August 30, 2006
1600 SUNRISE AVE, SUITE 16, MODESTO, CA 95350(209) 524-6681(209) 524-2962 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Central Valley Ent Medical Group Inc NPPES

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

CENTRAL VALLEY ENT MEDICAL GROUP INC (NPI 1447369566) is a healthcare organization registered as a specialist in Modesto, California and active in the NPI registry since August 2006. The organization lists Thomas Edward Killeen, President, as its authorized official.

NPPES Registry Identity

NPI1447369566
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCENTRAL VALLEY ENT MEDICAL GROUP INC
Location Address1600 SUNRISE AVE, SUITE 16Modesto, CA 95350-4679
Mailing Address1600 Sunrise Ave, Suite 16Modesto, CA 95350-4679 · (209) 524-6681 · Fax (209) 524-2962
Fax(209) 524-2962
Organization SubpartNo
Authorized OfficialThomas Edward KilleenPresident · (209) 524-6681
Enumeration DateAugust 30, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1447369566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1600 SUNRISE AVE, Modesto, CA 95350

Other Identifiers 1

MedicaidZZZ73209ZCA

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

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Marriage & Family Therapist
1600 SUNRISE AVE, SUITE12
MODESTO, CA 95350
Marriage & Family Therapist
1600 SUNRISE AVE, SUITE 12
MODESTO, CA 95350
Internal Medicine
1600 SUNRISE AVE, SUITE 16
MODESTO, CA 95350
Community/Behavioral Health
1600 SUNRISE AVE, SUITE 7B
MODESTO, CA 95350
Counselor (Mental Health)
1600 SUNRISE AVE, SUITE 7B
MODESTO, CA 95350
Marriage & Family Therapist
1600 SUNRISE AVE, SUITE 7B
MODESTO, CA 95350
Marriage & Family Therapist
1600 SUNRISE AVE, SUITE 12
MODESTO, CA 95350

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1447369566, enumerated as an "organization" on August 30, 2006.

The provider is located at 1600 SUNRISE AVE SUITE 16 MODESTO, CA 95350 and the phone number is (209) 524-6681.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.