MINERAL KING SURGICAL ASSOCIATES, INC. (NPI# 1356587497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356587497 |
| Entity Type | Organization |
| Organization Name | MINERAL KING SURGICAL ASSOCIATES, INC. |
| Practice Address |
5533 W Hillsdale Ave Suite C Visalia CA 93291-5138 |
| Mailing Address |
Po Box 7436 Visalia CA 93290-7436 |
| Practice Telephone | 5596228500 |
| Practice Fax Number | 5596229410 |
| Mailing Telephone | 5596228500 |
| Mailing Fax Number | 5596229410 |
| Enumeration Date | 2008-12-19 |
| Last Update Date | 2014-05-21 |
| Authorized Official Name | TONI M BONISKE (BILLING CONSULTANT) |
| Authorized Official Telephone | 5597325290 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 2086S0127X |
Surgery Specialization: Trauma Surgery |
Allopathic & Osteopathic Physicians |
| Street Address |
5533 W HILLSDALE AVE SUITE C |
| City | VISALIA |
| State | CA |
| Zip Code | 93291-5138 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013961366 | Robert Steven Norton | Specialist | 5533 W Hillsdale Ave, Suite C, Visalia, CA 93291-5138 | 2006-05-20 |
| 1891187225 | Emily Ombogo | Physical Therapist | 5533 W Hillsdale Ave, Suite A, Visalia, CA 93291-5138 | 2015-02-23 |
| 1841616935 | Danielle Brakeman | Physical Therapist | 5533 W Hillsdale Ave, Suite A, Visalia, CA 93291-5138 | 2014-03-12 |
| 1376817684 | Chad Brandon Rieckenberg | Physical Therapist | 5533 W Hillsdale Ave, Suite A, Visalia, CA 93291-5138 | 2012-03-05 |
| 1568693265 | Chad Lee Applegate | Physician Assistant | 5533 W Hillsdale Ave, Ste C, Visalia, CA 93291-5138 | 2009-07-30 |
| 1114152063 | Jean Williams | Nurse Practitioner | 5533 W Hillsdale Ave, Suite C, Visalia, CA 93291-5138 | 2009-05-21 |
| 1962689018 | Heather L Johnson | Physical Therapist | 5533 W Hillsdale Ave, Suite A, Visalia, CA 93291-5138 | 2008-01-30 |
| 1851430250 | Sebastiano Cassaro | Specialist | 5533 W Hillsdale Ave, Suite C, Visalia, CA 93291-5138 | 2007-02-05 |
| 1972611861 | Beverly A Borella | Physical Therapy Assistant | 5533 W Hillsdale Ave, Suite 'a', Visalia, CA 93291-5138 | 2006-08-29 |
| 1083722086 | Bacci and Glinn Physical Therapy Inc | Clinic/Center | 5533 W Hillsdale Ave, Suite 'a', Visalia, CA 93291-5138 | 2006-08-29 |
| 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 | 2086S0127X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| Specialization | Trauma Surgery |
| Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency. |
| Notes: Source: American Board of Surgery, 2007 [1/1/2008: definition added, source added] Additional Resources: http://www.absurgery.org/. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093115735 | Iq Surgical Associates Inc | Surgery | 202 W Willow Ave, Visalia, CA 93291-6238 | 2014-08-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558809277 | Southern California Hepatobiliary Pancreatic and Robotic Surgery Ins | Surgery | 5805 Sepulveda Blvd Ste 690, Sherman Oaks, CA 91411 | 2017-02-01 |
| 1609212919 | Daniel Eldridge Smith | Surgery | 11175 Campus St # 21111, Loma Linda, CA 92350 | 2013-05-14 |
| 1841553187 | Ning Lu | Surgery | 9898 Genesee Ave Fl 1, La Jolla, CA 92037-1205 | 2012-06-21 |
| 1942588868 | Trauma & Critical Care Sfv Group Inc | Surgery | 11550 Indian Hills Road, Suite 310, Mission Hills, CA 91345 | 2011-07-26 |
| 1467652859 | Trauma Vascular Surgeons Inc | Surgery | 12400 Ventura Blvd # 374, Studio City, CA 91604-2406 | 2007-07-23 |
| 1194819532 | North County Trauma Services, Inc. | Surgery | 451 March Avenue, Suite B, Healdsburg, CA 95448-3387 | 2006-10-02 |
| 1598863193 | Lawrence Roberts | Surgery | 7930 Frost St Ste 204, San Diego, CA 92123-2739 | 2006-09-20 |
| 1467563791 | North County Trauma Associates, Inc. A Medical Group | Surgery | 215 South Hickory Avenue, Suite 112, Escondido, CA 92025-4360 | 2006-08-31 |
| 1922116987 | Dinh Nhatton Nguyen | Surgery | 1800 Harrison St Fl 7, Oakland, CA 94612-3466 | 2006-08-29 |
| 1477564474 | Todd A Kanen | Surgery | 5333 Hollister Ave Ste 210, Santa Barbara, CA 93111-3331 | 2006-08-11 |
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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.