INDEPENDENCE MEDICAL GROUP OF CENTRAL CALIFORNIA, INC. (NPI# 1477796464) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1477796464 |
Entity Type | Organization |
Organization Name | INDEPENDENCE MEDICAL GROUP OF CENTRAL CALIFORNIA, INC. |
Other Organization Name | INDEPENDENCE MEDICAL GROUP |
Practice Address |
100 Willow Plz Suite 405 Visalia CA 93291-6206 |
Practice Telephone | 5598021105 |
Practice Fax Number | 5597504081 |
Mailing Telephone | 5598021105 |
Mailing Fax Number | 5597504081 |
Enumeration Date | 2009-04-07 |
Last Update Date | 2009-04-07 |
Authorized Official Name | CHARLES HABERKERN (VICE PRESIDENT) |
Authorized Official Telephone | 6614965638 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 302R00000X | Health Maintenance Organization | Managed Care Organizations |
Other Name | Type Code |
---|---|
Independence Medical Group | Doing Business As Name - Organization |
Street Address |
100 WILLOW PLZ SUITE 405 |
City | VISALIA |
State | CA |
Zip Code | 93291-6206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902871841 | Starr-wood Cardiac Group of Visalia Medical Corporation, PC | Clinic/Center | 100 Willow Plz, Suite 301, Visalia, CA 93291-6206 | 2006-02-22 |
1306396361 | Melissa Wilmarth | Obstetrics & Gynecology | 100 Willow Plz, Suite 201, Visalia, CA 93291-6206 | 2016-10-13 |
1669650164 | Sandra Jean Bosman | Obstetrics & Gynecology | 100 Willow Plz, Suite 201, Visalia, CA 93291-6206 | 2008-02-06 |
1417169897 | Maya K Ricci | Obstetrics & Gynecology | 100 Willow Plz, 201, Visalia, CA 93291-6206 | 2007-05-05 |
1275745648 | Visalia Obgyn Medical Assoc, Inc | Obstetrics & Gynecology | 100 Willow Plz, 201, Visalia, CA 93291-6206 | 2007-05-05 |
1366496770 | Elsa Lapuz Lerro | Internal Medicine | 100 Willow Plz, Suite 305, Visalia, CA 93291-6206 | 2006-05-20 |
1194777136 | George Blaine Lake | Obstetrics & Gynecology | 100 Willow Plz, 201, Visalia, CA 93291-6206 | 2006-05-17 |
1518916873 | John B Morin | Obstetrics & Gynecology | 100 Willow Plz, Suite 201, Visalia, CA 93291-6206 | 2006-05-06 |
1609824325 | Lorianne M Boken | Obstetrics & Gynecology | 100 Willow Plz, Suite 201, Visalia, CA 93291-6206 | 2006-05-05 |
1639127434 | Mark D Wiseman | Obstetrics & Gynecology | 100 Willow Plz, Suite 201, Visalia, CA 93291-6206 | 2006-05-04 |
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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 | 302R00000X |
Grouping | Managed Care Organizations |
Classification | Health Maintenance Organization |
(1) A form of health insurance in which its members prepay a premium for the HMO’s health services which generally include inpatient and ambulatory care. For the patient, an HMO means reduced out-of-pocket costs (i.e. no deductible), no paperwork (i.e. insurance forms), and only a small copayment for each office visit to cover the paperwork handled by the HMO; (2) A organization of health care personnel and facilities that provides a comprehensive range of health services to an enrolled population for a fixed sum of money paid in advance for a specified period of time. These health services include a wide variety of medical treatments and consults, inpatient and outpatient hospitalization, home health service, ambulance service, and sometimes dental and pharmacy services. The HMO may be organized as a group model, an individual practice association (IPA), a network model or a staff model. |
Notes: Source: (1) Medical Interface: Managed Care A thru Z- Managed Care Terms published by Medicom International, Bronxville, New York Telephone (914) 337-5023, p. 20; (2) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 58 |
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1932261864 | Mosaic Ipa Medical Group, Inc. | Health Maintenance Organization | 3335 S Fairway St, Visalia, CA 93277-7781 | 2006-12-15 |
1649443516 | Mariya Grigoryan Dds Inc | Health Maintenance Organization | 2634 W Walnut Ave, Visalia, CA 93277-4378 | 2008-04-10 |
1780746610 | Key Medical Group, Inc. | Health Maintenance Organization | 3335 S Fairway St, Visalia, CA 93277-7781 | 2006-12-15 |
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1447868377 | Auxilium Health Network, Inc. | Health Maintenance Organization | 18000 Studebaker Dr, Cerritos, CA 90703 | 2020-07-16 |
1154939098 | Absolute Medical Partners, A Professional Medical Corporation | Health Maintenance Organization | 18000 Studebaker Rd., Ste 100, Cerritos, CA 90703 | 2020-07-16 |
1700494606 | Rapha Ipa, Inc. | Health Maintenance Organization | 1010 Crenshaw Blvd Ste 200, Torrance, CA 90501-2058 | 2020-07-16 |
1548883788 | Careplan Ipa, Inc | Health Maintenance Organization | 18000 Studebaker Road, Suite 100, Cerritos, CA 90703-7929 | 2020-05-22 |
1982227450 | Zeev Neumeier | Health Maintenance Organization | 1691 Ward St, Berkeley, CA 94703-1827 | 2020-05-19 |
1669009247 | Doctor's Managed Ipa, Inc | Health Maintenance Organization | 4959 Palo Verde St Ste 101b, Montclair, CA 91763-2331 | 2020-03-24 |
1710512298 | United Physicians Association Inc | Health Maintenance Organization | 14803 Badlona Dr, La Mirada, CA 90638-3834 | 2020-03-05 |
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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.