KAWEAH DELTA HEALTH CARE INC


Address: 5400 W Hillsdale Ave, Visalia, CA 93291-8222
Phone: 5597387500

KAWEAH DELTA HEALTH CARE INC (NPI# 1619353042) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619353042
Entity Type Organization
Organization Name KAWEAH DELTA HEALTH CARE INC
Other Organization Name KAWEAH DELTA MEDICAL FOUNDATION
Practice Address 5400 W Hillsdale Ave
Visalia
CA 93291-8222
Mailing Address 5400 W Hillsdale Ave
Suite 150
Visalia
CA 93291-8222
Practice Telephone 5597387500
Enumeration Date 2015-08-07
Last Update Date 2020-10-14
Authorized Official Name PAUL SCHOFIELD (CEO)
Authorized Official Telephone 5597387500
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CA MEDICARE PTAN CA171873 01

Other Provider/Organization Names

Other Name Type Code
Kaweah Delta Medical Foundation Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1336515097 Kaweah Delta Health Care Inc Clinical Medical Laboratory 5400 W Hillsdale Ave, Visalia, CA 93291-8222 2015-08-18

Office Location

Street Address 5400 W HILLSDALE AVE
City VISALIA
State CA
Zip Code 93291-8222

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164426961 Shirley Pua Internal Medicine 5400 W Hillsdale Ave, Visalia, CA 93291 2005-06-09
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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194052225 Richard Armstrong General Practice 1927 S Hillcrest Dr, Visalia, CA 93292-5119 2009-11-10
1205461613 Navjot Kaur General Practice 118 N Akers St, Visalia, CA 93291-5121 2020-03-05
1730612250 Visalia Rehabilitative Medicine, Inc General Practice 4006 S Demaree St, Ste A, Visalia, CA 93277-9476 2017-04-11
1285908707 Youssef Y Bakhoum General Practice 1837 W Dorothea Ave, Visalia, CA 93277-7363 2012-03-01
1073753356 Ash Ghaly, Md, Inc General Practice 400 W Mineral King Ave, Visalia, CA 93291-6237 2009-02-26
1356469027 Rios & Powell, A Medical Corporation General Practice 220 S Mooney Blvd, Ste D, Visalia, CA 93291-4550 2007-03-27
1598775934 Arthur Molina General Practice 1633 S Court St, Visalia, CA 93277-4945 2006-08-08

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1851992986 Lindsay Fry General Practice 375 Bonair St Apt 1, La Jolla, CA 92037-5911 2020-11-04
1255939674 Kiira Health Practice Ca PC General Practice 123 S Figueroa St Apt 1202, Los Angeles, CA 90012-5490 2020-10-16
1851999627 Golden State Medical Center PC General Practice 2551 San Ramon Valley Blvd Ste 108, San Ramon, CA 94583-1661 2020-10-14
1598362709 Afua Takyi General Practice 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 2020-10-01
1316553530 Kimberly Ann Callaway General Practice 4893 Drakewood Ter, San Diego, CA 92130-1406 2020-09-22
1376156109 Gtl Medical Group Inc General Practice 14555 Hamlin St Ste 107, Van Nuys, CA 91411-1617 2020-08-31
1922611896 Daniel Lynn Johnson General Practice 74075 El Paseo Ste B2, Palm Desert, CA 92260-4118 2020-08-28
1235755299 Hofmeister Medical, PC General Practice 31735 Riverside Dr Ste K, Lake Elsinore, CA 92530-7816 2020-06-24
1033733779 South Bay Regenerative Medical Spa Inc General Practice 412 S Pacific Coast Hwy Ste 100, Redondo Beach, CA 90277-3712 2020-05-28
1568085041 Integrated Advanced Medicine Inc General Practice 210 S Grand Ave Ste 408, Glendora, CA 91741-4282 2020-05-19
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Competitor

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City VISALIA
Zip Code 93291

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Dataset Information

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.

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