Provider Demographics
NPI:1225905961
Name:CENTRAL VALLEY PODIATRY, INC
Entity type:Organization
Organization Name:CENTRAL VALLEY PODIATRY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LETICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:PALOMARES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-288-9975
Mailing Address - Street 1:724 MEDICAL CENTER DR E STE 102
Mailing Address - Street 2:
Mailing Address - City:CLOVIS
Mailing Address - State:CA
Mailing Address - Zip Code:93611-6811
Mailing Address - Country:US
Mailing Address - Phone:559-298-7533
Mailing Address - Fax:559-900-4761
Practice Address - Street 1:724 MEDICAL CENTER DR E STE 102
Practice Address - Street 2:
Practice Address - City:CLOVIS
Practice Address - State:CA
Practice Address - Zip Code:93611-6811
Practice Address - Country:US
Practice Address - Phone:559-298-7533
Practice Address - Fax:559-900-4761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-18
Last Update Date:2025-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty