SHIRLEY PUA (NPI# 1164426961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164426961 |
| Entity Type | Individual |
| Full Name | SHIRLEY PUA |
| Credential | M.D. |
| Practice Address |
5400 W Hillsdale Ave Visalia CA 93291 |
| Mailing Address |
5400 W Hillsdale Ave Visalia CA 93291-8222 |
| Practice Telephone | 5597387532 |
| Practice Fax Number | 5597392052 |
| Mailing Telephone | 5597387532 |
| Mailing Fax Number | 5597392052 |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2019-11-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 31301 | IA | Allopathic & Osteopathic Physicians |
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
C151394 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0285957 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1601 Nw 114th St, Ste 342, Clive, IA 503257036 | 5152227600 | 5152227643 |
| Street Address |
5400 W HILLSDALE AVE |
| City | VISALIA |
| State | CA |
| Zip Code | 93291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780293910 | Melanie Breanne Sanchez | Speech-Language Pathologist | 5400 W Hillsdale Ave, Visalia, CA 93291-8222 | 2020-07-23 |
| 1376164210 | Edgar Albino Botello | Nurse Practitioner | 5400 W Hillsdale Ave, Visalia, CA 93291-5140 | 2020-05-01 |
| 1831749159 | Abbey Morren | Nurse Practitioner | 5400 W Hillsdale Ave, Visalia, CA 93291-5140 | 2019-09-18 |
| 1972065076 | Denise Junio | Nurse Practitioner | 5400 W Hillsdale Ave, Visalia, CA 93291-8222 | 2019-04-05 |
| 1023594546 | Julieann Gonzales | Nurse Practitioner | 5400 W Hillsdale Ave, Visalia, CA 93291-8222 | 2018-07-17 |
| 1760927867 | Andrea G Van Beek | Nurse Practitioner | 5400 W Hillsdale Ave, Visalia, CA 93291-8222 | 2016-12-27 |
| 1366984825 | Jamie Lea Cox | Physician Assistant | 5400 W Hillsdale Ave, Visalia, CA 93291-5140 | 2016-11-14 |
| 1942658034 | Mina Raju Do Inc | Internal Medicine | 5400 W Hillsdale Ave, Visalia, CA 93291-8222 | 2016-05-30 |
| 1336515097 | Kaweah Delta Health Care Inc | Clinical Medical Laboratory | 5400 W Hillsdale Ave, Visalia, CA 93291-8222 | 2015-08-18 |
| 1619353042 | Kaweah Delta Health Care Inc | General Practice | 5400 W Hillsdale Ave, Visalia, CA 93291-8222 | 2015-08-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964854 | Stephanie Janae Ybarra | Orthotist | 5412 Avenida De Los Robles, Suite 101, Visalia, CA 93291 | 2020-02-21 |
| 1689223067 | Patricia Mari Marquez | Technician | 32481 Road 127, Visalia, CA 93291 | 2019-09-09 |
| 1942767710 | Jeremy Clifton Mccallister | Counselor | 120 W. School Ave., Visalia, CA 93291 | 2019-02-27 |
| 1568975290 | Kaweah Delta Health Care District | Clinic/Center | 3600 Flagstaff Avenue, Visalia, CA 93291 | 2017-11-16 |
| 1932625308 | Christina Gonzalez | Counselor | New Hope, 212 N. Stevenson, Visalia, CA 93291 | 2017-08-17 |
| 1629598545 | Estherose Molina | Assistant Behavior Analyst | 5445 W. Sweet Drive, Visalia, CA 93291 | 2017-06-21 |
| 1487195988 | Brenda Rodriguez | Case Manager/Care Coordinator | 546 East Tulare Ave, Visalia, CA 93291 | 2017-03-16 |
| 1295181857 | David James Tsuneji Fujihara | Emergency Medicine | 400 W. Mineral King Ave, Visalia, CA 93291 | 2016-05-12 |
| 1326409343 | Bay Area Surgical Specialists, Inc A Medical Corporation | Pain Medicine | 5127 W Noble Ave, Visalia, CA 93291 | 2016-03-18 |
| 1932585700 | Charles Dominick Trentacosti | Occupational Therapy Assistant | 514 N Bridge St, Visalia, CA 93291 | 2015-08-04 |
| Find all providers in zip 93291 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114102969 | Kandarp K. Shah, M.d., Inc | Internal Medicine | 518 N Court St Ste B, Visalia, CA 93291-4920 | 2007-12-28 |
| 1174500607 | Bankim H Dalal | Internal Medicine | 1622 S Court St, Visalia, CA 93277 | 2005-12-27 |
| 1538323605 | Jeffry A Brown, Md | Internal Medicine | 1622 S Court St, Visalia, CA 93277-4962 | 2008-07-17 |
| 1932289162 | Kalyani Kandarp Shah | Internal Medicine | 805 W Acequia Ave, Suite 2d, Visalia, CA 93291 | 2006-10-16 |
| 1699772293 | Neshan Tabibian | Internal Medicine | 5400 W Hillsdale Ave, Visalia, CA 93291-8222 | 2005-06-28 |
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| 1487252359 | Westside Gastroenterology and Hepatology | Internal Medicine | 2080 Century Park E Ste 1200, Los Angeles, CA 90067-2015 | 2020-10-13 |
| 1548883622 | Martha Hierro, Md Inc | Internal Medicine | 2021 Santa Monica Blvd Ste 335e, Santa Monica, CA 90404-2146 | 2020-05-22 |
| 1922629542 | Dieta Inc. | Internal Medicine | 15 Locust Ave, Oak Park, CA 91377-1115 | 2020-05-05 |
| 1861020364 | Kelvin Yeh Md Inc | Internal Medicine | 1715 S Date Ave, Alhambra, CA 91803-2908 | 2020-03-30 |
| 1598399917 | Indraneel Chakrabarty, Md Inc. | Internal Medicine | 31625 De Portola Rd Ste 101, Temecula, CA 92592-2770 | 2020-02-25 |
| 1316581390 | Premier Digestive Health A Medical Corporation | Internal Medicine | 16350 Ventura Blvd # D539, Encino, CA 91436-5300 | 2019-11-01 |
| 1427604834 | Adventist Health Physicians Network | Internal Medicine | 999 S Fairmont Ave Ste 50, Lodi, CA 95240-5139 | 2019-08-12 |
| 1861045106 | Gary M Van Deventer Md Inc | Internal Medicine | 504 W Pueblo St Ste 201, Santa Barbara, CA 93105-6211 | 2019-07-16 |
| 1689232779 | Zelman Weingarten Md Inc | Internal Medicine | 101 E Beverly Blvd Ste 203, Montebello, CA 90640-4315 | 2019-06-03 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.