STARR-WOOD CARDIAC GROUP OF VISALIA MEDICAL CORPORATION, PC (NPI# 1902871841) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1902871841 |
Entity Type | Organization |
Organization Name | STARR-WOOD CARDIAC GROUP OF VISALIA MEDICAL CORPORATION, PC |
Practice Address |
100 Willow Plz Suite 301 Visalia CA 93291-6206 |
Mailing Address |
4125 W Noble Ave Pmb 323 Visalia CA 93277-1662 |
Practice Telephone | 5597343278 |
Practice Fax Number | 5036275723 |
Mailing Telephone | 5597343278 |
Mailing Fax Number | 5036275723 |
Enumeration Date | 2006-02-22 |
Last Update Date | 2008-06-27 |
Authorized Official Name | FREDERICK WILLIAM MAYER (CARDIAC SERVICES) |
Authorized Official Telephone | 5597343278 |
Authorized Official Credential | MD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | FNP23902 | CA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CA | GR0072080 | 05 |
Street Address |
100 WILLOW PLZ SUITE 301 |
City | VISALIA |
State | CA |
Zip Code | 93291-6206 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306396361 | Melissa Wilmarth | Obstetrics & Gynecology | 100 Willow Plz, Suite 201, Visalia, CA 93291-6206 | 2016-10-13 |
1477796464 | Independence Medical Group of Central California, Inc. | Health Maintenance Organization | 100 Willow Plz, Suite 405, Visalia, CA 93291-6206 | 2009-04-07 |
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 |
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Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861885006 | Cutler Medical Clinic, Inc. | Clinic/Center | 107 E Sunnyside Ct, Visalia, CA 93277-7675 | 2015-03-12 |
1891940987 | Immediate Care Medical Group, Inc. | Clinic/Center | 231 E Caldwell Ave, Visalia, CA 93277-7605 | 2008-11-17 |
1114548799 | Sterling Hospitalist Medical Group, Inc | Clinic/Center | 525 W Main St, Visalia, CA 93291-6116 | 2020-05-05 |
1538545520 | Kaweah Delta Health Care District | Clinic/Center | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2015-08-03 |
1558752683 | Kaweah Delta Health Care District | Clinic/Center | 840 S Akers St, Visalia, CA 93277-8309 | 2015-02-11 |
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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.