Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

CENTRAL VALLEY INDIAN HEALTH
NPI 1447942743
Family Medicine in Clovis, CA

Active since May 24, 2023CLIA 05D2078583 · Microscopy
255 W BULLARD AVE STE 109, CLOVIS, CA 93612(559) 325-5715 Get Directions Write a Review

NPPES record last updated: August 25, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Aug 25, 2026, Aug 5, 2026, May 24, 2023 (3 updates tracked since 2023).

About Central Valley Indian Health NPPES

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

CENTRAL VALLEY INDIAN HEALTH (NPI 1447942743) is a healthcare organization registered as a family medicine in Clovis, California and active in the NPI registry since May 2023. The organization holds a CLIA Microscopy certificate valid through November 26, 2027 and lists Tewodros Kebede Tekle, Family Medicine Physician, as its authorized official.

NPPES Registry Identity

NPI1447942743
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCENTRAL VALLEY INDIAN HEALTH
Location Address255 W BULLARD AVE STE 109Clovis, CA 93612-0861
Mailing Address2740 Herndon AveClovis, CA 93611-6813 · (559) 299-2608
Organization SubpartNo
Authorized OfficialTewodros Kebede TekleFamily Medicine Physician · (559) 299-2578
Enumeration DateMay 24, 2023
Last NPPES UpdateAugust 25, 20263 updates tracked since enumeration
NPPES CertifiedAugust 25, 2026
✔ NPI 1447942743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
255 W BULLARD AVE STE 109, Clovis, CA 93612

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2078583

Central Valley Indian Health Bullard Clinic · Clovis, CA
Active · expires Nov 26, 2027
CLIA Number05D2078583
Laboratory TypeCommunity Clinic
Certificate Effective DateNovember 27, 2025
Certificate Expiration DateNovember 26, 2027
Laboratory DirectorJames D. Tinio, MD
Laboratory Phone(559) 325-5715
Laboratory LocationCentral Valley Indian Health Bullard Clinic255 W Bullard Ave Ste 109, Clovis, CA 93612
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
255 W BULLARD AVE STE 109
CLOVIS, CA 93612
Physician Assistant
255 W BULLARD AVE STE 109
CLOVIS, CA 93612
General Practice
255 W BULLARD AVE STE 109
CLOVIS, CA 93612
Family Medicine
255 W BULLARD AVE STE 109
CLOVIS, CA 93612
Nurse Practitioner (Family)
255 W BULLARD AVE STE 109
CLOVIS, CA 93612

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Central Valley Indian Health's NPI number?

The NPI number for Central Valley Indian Health is 1447942743. It was assigned to this organization in the NPPES registry on May 24, 2023.

Where is Central Valley Indian Health located?

Central Valley Indian Health is located at 255 W Bullard Ave Ste 109, Clovis, CA 93612. The listed phone number is (559) 325-5715.

What is Central Valley Indian Health's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Central Valley Indian Health hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D2078583) is associated with this NPI, valid through November 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Central Valley Indian Health was last updated on August 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 40 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.