Provider Demographics
NPI:1346540580
Name:CASTRO VALLEY HEALTH, INC
Entity Type:Organization
Organization Name:CASTRO VALLEY HEALTH, INC
Other - Org Name:CVHCARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHAIRMAN, CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:PARINAS
Authorized Official - Suffix:
Authorized Official - Credentials:RN PHN
Authorized Official - Phone:510-690-1930
Mailing Address - Street 1:875 MAHLER RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-1615
Mailing Address - Country:US
Mailing Address - Phone:650-689-5454
Mailing Address - Fax:650-689-5584
Practice Address - Street 1:875 MAHLER RD
Practice Address - Street 2:SUITE 208
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-1615
Practice Address - Country:US
Practice Address - Phone:650-689-5454
Practice Address - Fax:650-689-5584
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PARINAS GENERAL CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-10-21
Last Update Date:2014-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA550001160251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA059564Medicare Oscar/Certification