SIDE XI (NPI# 1679643688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679643688 |
| Entity Type | Individual |
| Full Name | SIDE XI |
| Credential | MD |
| Practice Address |
2611 N Dinuba Blvd Visalia CA 93291-9003 |
| Mailing Address |
5957 S Mooney Blvd Visalia CA 93277-9394 |
| Practice Telephone | 5597336342 |
| Mailing Telephone | 5597374669 |
| Mailing Fax Number | 5597374697 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | A85791 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A857910 | 05 |
| Street Address |
2611 N DINUBA BLVD |
| City | VISALIA |
| State | CA |
| Zip Code | 93291-9003 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649264060 | Harish G Shah | Family Medicine | 2611 N Dinuba Blvd, Visalia, CA 93291-9003 | 2005-08-31 |
| 1912567587 | Nigar Elise Cyrus | Nurse Practitioner | 2611 N Dinuba Blvd, Visalia, CA 93291-9003 | 2019-06-17 |
| 1124548219 | Rizalina Olalo Reyes | Nurse Practitioner | 2611 N Dinuba Blvd, Visalia, CA 93291 | 2017-06-21 |
| 1902248859 | Farnoush Karimpour | Registered Nurse | 2611 N Dinuba Blvd, Visalia, CA 93291-9003 | 2013-07-20 |
| 1538507165 | County of Tulare | Pharmacy | 2611 N Dinuba Blvd, Visalia, CA 93291-9003 | 2013-06-05 |
| 1871839381 | Phillip Wenhwee Chu | Family Medicine | 2611 N Dinuba Blvd, Visalia, CA 93291-9003 | 2013-01-02 |
| 1306114624 | Mara Popescu | Registered Nurse | 2611 N Dinuba Blvd, Visalia, CA 93291-9003 | 2011-12-01 |
| 1760783963 | Vinh Hy Ho | Physician Assistant | 2611 N Dinuba Blvd, Visalia, CA 93291-9003 | 2010-11-04 |
| 1083943799 | Sandra Carol Mackiney | Nurse Practitioner | 2611 N Dinuba Blvd, Visalia, CA 93291-9003 | 2009-12-09 |
| 1487802336 | Hendrika C Jones | Nurse Practitioner | 2611 N Dinuba Blvd, Visalia, CA 93291-9003 | 2008-09-04 |
| 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 | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235219106 | Joseph Bakhoum Md | Pediatrics | 1837 W Dorothea Ave, Visalia, CA 93277-7363 | 2006-10-16 |
| 1366538944 | Niazi Raouf Sidhom | Pediatrics | 107 North Hall Street, Suite A, Visalia, CA 93291 | 2006-10-04 |
| 1235197500 | Elizabeth Moreno Endeno-galima | Pediatrics | 501 N Bridge St, Visalia, CA 93291-5014 | 2006-05-03 |
| 1184617813 | Michael Jay Levine | Pediatrics | 914 W Center Ave, Visalia, CA 93291-5916 | 2005-08-29 |
| 1740286749 | Elisabeth A Bossingham | Pediatrics | 1827 S Court St, Suite F, Visalia, CA 93277-5469 | 2005-06-23 |
| 1669823779 | Sandhya Jitendra Kadam | Pediatrics | 2333 S Mooney Blvd, Visalia, CA 93277-6228 | 2016-06-29 |
| 1124492897 | Valley Children's Medical Group - Akers | Pediatrics | 220 S Akers St, Visalia, CA 93291-5178 | 2015-11-18 |
| 1154707875 | Abiezer Natanael Disla | Pediatrics | 400 E Oak Ave, Visalia, CA 93291-5034 | 2015-08-04 |
| 1982004164 | Ester Silohe Flores Midence | Pediatrics | 401 E School Ave, Visalia, CA 93291-5032 | 2014-08-25 |
| 1538502679 | Kristen Currie | Pediatrics | 5400 W Hillsdale Ave, Visalia, CA 93291-8222 | 2013-04-08 |
| Find all providers in VISALIA | ||||
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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.