Provider Demographics
NPI:1265830558
Name:CASTRO VALLEY HEALTH, INC.
Entity Type:Organization
Organization Name:CASTRO VALLEY HEALTH, INC.
Other - Org Name:CVHCARE WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN, CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK ANTHONY
Authorized Official - Middle Name:R
Authorized Official - Last Name:PARINAS
Authorized Official - Suffix:
Authorized Official - Credentials:RN, PHN
Authorized Official - Phone:510-690-1930
Mailing Address - Street 1:2410 CAMINO RAMON
Mailing Address - Street 2:SUITE 331
Mailing Address - City:SAN RAMON
Mailing Address - State:CA
Mailing Address - Zip Code:94583-4334
Mailing Address - Country:US
Mailing Address - Phone:510-690-1930
Mailing Address - Fax:510-690-0930
Practice Address - Street 1:310 BERRELLESA ST
Practice Address - Street 2:
Practice Address - City:MARTINEZ
Practice Address - State:CA
Practice Address - Zip Code:94553-1012
Practice Address - Country:US
Practice Address - Phone:925-228-2767
Practice Address - Fax:925-228-2793
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARINAS GENERAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2014-12-18
Last Update Date:2014-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550001160251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1083797880Medicaid