KAWEAH DELTA HEALTH CARE DISTRICT (NPI# 1194374413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194374413 |
Entity Type | Organization |
Organization Name | KAWEAH DELTA HEALTH CARE DISTRICT |
Other Organization Name | SEQUOIA HEALTH & WELLNESS CENTER |
Practice Address |
202 W Willow Ave Ste 502 Visalia CA 93291-6268 |
Mailing Address |
400 W Mineral King Ave Visalia CA 93291-6237 |
Practice Telephone | 5596246590 |
Mailing Telephone | 5596242739 |
Enumeration Date | 2019-09-09 |
Last Update Date | 2020-10-14 |
Authorized Official Name | MALINDA TUPPER (SR. VP/CFO) |
Authorized Official Telephone | 5596244065 |
Is Organization Subpart | Y |
Parent Organization Name | KAWEAH DELTA HEALTH CARE DISTRICT |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDICARE | TBD | 01 |
Other Name | Type Code |
---|---|
Sequoia Health & Wellness Center | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174130942 | Kaweah Delta Health Care District | Clinic/Center | 1000 N Mooney Blvd, Tulare, CA 93274-2417 | 2020-09-25 |
1568975290 | Kaweah Delta Health Care District | Clinic/Center | 3600 Flagstaff Avenue, Visalia, CA 93291 | 2017-11-16 |
1578081915 | Kaweah Delta Health Care District | Neurological Surgery | 202 W Willow Ave Ste 202, Visalia, CA 93291-6238 | 2017-09-06 |
1659735132 | Kaweah Delta Health Care District | Pharmacy | 202 W Willow Ave Ste 102, Visalia, CA 93291-6238 | 2016-04-11 |
1740688894 | Kaweah Delta Health Care District | Clinic/Center | 202 W Willow Ave Ste 502, Visalia, CA 93291-6238 | 2014-12-05 |
1528476306 | Kaweah Delta Health Care District | Clinic/Center | 820 S. Akers Rd, Suite 100, Visalia, CA 93277-8309 | 2014-07-24 |
1841607801 | Kaweah Delta Health Care District | Clinic/Center | 355 Monte Vista Dr, Dinuba, CA 93618 | 2014-07-22 |
1881984706 | Kaweah Delta Health Care District | Clinic/Center | 1110 S Ben Maddox Way, Visalia, CA 93292-3643 | 2011-04-12 |
1104067636 | Kaweah Delta Health Care District | Clinic/Center | 839 Sequoia Ave, Lindsay, CA 93247-1424 | 2009-03-12 |
1891718649 | Kaweah Delta Health Care District | Hospice Care, Community Based | 900 W Oak Ave, Visalia, CA 93291-4716 | 2006-07-25 |
Street Address |
202 W WILLOW AVE STE 502 |
City | VISALIA |
State | CA |
Zip Code | 93291-6268 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740688894 | Kaweah Delta Health Care District | Clinic/Center | 202 W Willow Ave Ste 502, Visalia, CA 93291-6238 | 2014-12-05 |
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 | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992987879 | Family Healthcare Network | Clinic/Center | 305 E Center Ave, Visalia, CA 93291-6331 | 2007-12-03 |
1689158941 | Family Healthcare Network | Clinic/Center | 2333 S Mooney Blvd, Visalia, CA 93277-6228 | 2018-09-21 |
1629558721 | Omni Family Health | Clinic/Center | 311 W Noble Ave, Visalia, CA 93277-2669 | 2018-08-17 |
1194265579 | Family Healthcare Network | Clinic/Center | 31180 Road 72, Visalia, CA 93291-9672 | 2017-03-03 |
1730502725 | Family Healthcare Network | Clinic/Center | 401 E School Ave, Visalia, CA 93291 | 2014-01-27 |
1528105558 | County of Tulare | Clinic/Center | 5957 S Mooney Blvd, Visalia, CA 93277-9394 | 2007-01-31 |
1821186727 | Family Healthcare Network | Clinic/Center | 400 East Oak Street, Visalia, CA 93291 | 2006-10-10 |
1588699151 | Family Healthcare Network | Clinic/Center | 501 N Bridge St, Visalia, CA 93291-5014 | 2006-07-12 |
1457385163 | County of Tulare | Clinic/Center | 2611 N Dinuba Blvd, Visalia, CA 93291-9003 | 2006-07-10 |
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1508465303 | Valley Health Team, Inc | Clinic/Center | 459 W Line St Ste C, Bishop, CA 93514-3333 | 2020-10-22 |
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1508464116 | Golden Valley Health Center | Clinic/Center | 1524 Mchenry Ave Ste 560, Modesto, CA 95350-4573 | 2020-10-15 |
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1083221451 | Harmony Health Medical Clinic and Family Resource Center | Clinic/Center | 1930 N. Beale Road, Marysville, CA 95901-6915 | 2020-09-29 |
1235745928 | Community Medical Centers Inc | Clinic/Center | 747 E Channel St, Stockton, CA 95202-2628 | 2020-09-18 |
1760098503 | Chicago Clinica Medica Familiar Operated By Neighborhood Healthcare | Clinic/Center | 4022 Chicago Ave Ste A, Riverside, CA 92507-5340 | 2020-09-17 |
1164037149 | Camarena Health | Clinic/Center | 16645 Road 26, Madera, CA 93638-0830 | 2020-09-15 |
Find all providers with the same taxonomy |
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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.