Organization
CENTRAL VALLEY MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA JAMES (PRESIDENT & CEO)
(209) 541-9647
Entity
Organization
Contact information
Practice address
3509 COFFEE RD STE D6, MODESTO, CA 95355-1357
(209) 800-2864
(209) 408-0654
Mailing address
3509 COFFEE RD STE D6, MODESTO, CA 95355-1357
(209) 800-2864
(209) 408-0654
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
—
—
207N00000X
Dermatology Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207W00000X
Ophthalmology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
208800000X
Urology Physician
—
—
Other
Enumeration date
03/02/2009
Last updated
02/24/2026
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