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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208D00000X | General Practice | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | MEDICARE PTAN | CA171873 | 01 |
Other Name | Type Code |
---|---|
Kaweah Delta Medical Foundation | Doing Business As Name - Organization |
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 |
Street Address |
5400 W HILLSDALE AVE |
City | VISALIA |
State | CA |
Zip Code | 93291-8222 |
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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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 | 208D00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | General Practice |
Definition to come... |
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 |
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1598362709 | Afua Takyi | General Practice | 1555 River Park Dr Ste 211, Sacramento, CA 95815-4604 | 2020-10-01 |
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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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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.