CENTURION VALLEY HEALTHCARE INC.
NPI 1750773792
Internal Medicine in Stockton, CA

Active since February 27, 2015
6337 BROOK HOLLOW CIR, STOCKTON, CA 95219(209) 910-0701(209) 910-9763 Get Directions Write a Review

NPPES record last updated: February 27, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Centurion Valley Healthcare Inc. NPPES

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

CENTURION VALLEY HEALTHCARE INC. (NPI 1750773792) is a healthcare organization registered as an internal medicine in Stockton, California and active in the NPI registry since February 2015. The organization lists Htay Minn, President, as its authorized official.

NPPES Registry Identity

NPI1750773792
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCENTURION VALLEY HEALTHCARE INC.
Location Address6337 BROOK HOLLOW CIRStockton, CA 95219-2441
Mailing Address6337 Brook Hollow CirStockton, CA 95219-2441 · (209) 910-0701 · Fax (209) 910-9763
Fax(209) 910-9763
Organization SubpartNo
Authorized OfficialHtay MinnPresident · (209) 910-0701
Enumeration DateFebruary 27, 2015
✔ NPI 1750773792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6337 BROOK HOLLOW CIR, Stockton, CA 95219

Other Identifiers 2

Medicare UPINI08454CA
Medicaid1992765523CA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Centurion Valley Healthcare Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Centurion Valley Healthcare Inc., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Physical Medicine and Rehabilitation
NPI 1992765523
730 17TH ST
Modesto, CA 95354
(209) 248-7700
✔ PECOS✔ Accepts Medicare31 mi
Nephrology
NPI 1023417649
11100 WARNER AVE STE 218
Fountain Valley, CA 92708
(714) 641-9696
✔ PECOS✔ Accepts Medicare352 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Centurion Valley Healthcare Inc.'s NPI number?

The NPI number for Centurion Valley Healthcare Inc. is 1750773792. It was assigned to this organization in the NPPES registry on February 27, 2015.

Where is Centurion Valley Healthcare Inc. located?

Centurion Valley Healthcare Inc. is located at 6337 Brook Hollow Cir, Stockton, CA 95219. The listed phone number is (209) 910-0701.

What is Centurion Valley Healthcare Inc.'s specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Centurion Valley Healthcare Inc. enrolled in Medicare?

Yes. Centurion Valley Healthcare Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Centurion Valley Healthcare Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Centurion Valley Healthcare Inc., in Nephrology and Physical Medicine and Rehabilitation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Centurion Valley Healthcare Inc. was last updated on February 27, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.