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CENTRAL VALLEY CARDIOVASCULAR MEDICAL GROUP, INC
NPI 1962750224
Clinic/Center - Medical Specialty in Turlock, CA

Active since August 16, 2012CLIA 05D2070465 · Waiver
1508 COLORADO AVE, TURLOCK, CA 95380(209) 668-8030(209) 668-8031 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 24, 2025, May 14, 2019 (2 updates tracked since 2019).

About Central Valley Cardiovascular Medical Group, Inc NPPES

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

CENTRAL VALLEY CARDIOVASCULAR MEDICAL GROUP, INC (NPI 1962750224) is a healthcare organization registered as a medical specialty in Turlock, California and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through May 3, 2028, maintains 5 additional practice locations, and lists Reza Nazari, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962750224
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameCENTRAL VALLEY CARDIOVASCULAR MEDICAL GROUP, INC
Location Address1508 COLORADO AVETurlock, CA 95380-2711
Mailing AddressPo Box 4978Modesto, CA 95352-4978 · (209) 575-4575 · Fax (209) 575-4598
Phone(209) 668-8030
Fax(209) 668-8031
Organization SubpartNo
Authorized OfficialReza NazariCeo · (209) 602-6684
Enumeration DateAugust 16, 2012
Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1962750224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in CA · 40507
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
1508 COLORADO AVE, Turlock, CA 95380
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Secondary Practice Locations 5

Location 11108 WARD AVD, BLDG APATTERSON, CA 95363-8529 · Phone (209) 668-8030 · Fax (209) 668-8031
Location 2600 W I St Ste ALos Banos, CA 93635 · Phone (209) 826-4800 · Fax (209) 826-4810
Location 3205 W Granger AveModesto, CA 95350-4402 · Phone (209) 668-8030 · Fax (209) 668-8031
Location 4777 E Hawkeye AveTurlock, CA 95380 · Phone (209) 668-8030 · Fax (209) 668-8031
Location 53150 G St Ste AMerced, CA 95340-1346 · Phone (209) 385-2240 · Fax (209) 385-2241

Other Identifiers 2

OtherGO094ACA · Medicare
Medicaid1439840CA

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 of Waiver 05D2070465

Central Valley Cardiovascular Medical Group · Los Banos, CA
Active · expires May 3, 2028
CLIA Number05D2070465
Laboratory TypePhysician Office
Certificate Effective DateMay 4, 2026
Certificate Expiration DateMay 3, 2028
Laboratory DirectorYohannes Gebreeqziabher, MD
Laboratory Phone(209) 826-4800
Laboratory LocationCentral Valley Cardiovascular Medical Group600 W I St Ste A, Los Banos, CA 93635
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Cardiovascular Medical Group, Inc's NPI number?

The NPI number for Central Valley Cardiovascular Medical Group, Inc is 1962750224. It was assigned to this organization in the NPPES registry on August 16, 2012.

Where is Central Valley Cardiovascular Medical Group, Inc located?

Central Valley Cardiovascular Medical Group, Inc is located at 1508 Colorado Ave, Turlock, CA 95380. The listed phone number is (209) 668-8030.

What is Central Valley Cardiovascular Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Does Central Valley Cardiovascular Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2070465) is associated with this NPI, valid through May 3, 2028. 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 Cardiovascular Medical Group, Inc was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.