Todd Alexander Quackenbush (NPI# 1194704122, PAC ID# 1456687771) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1194704122 |
| PAC ID by PECOS | 1456687771 |
| Professional Enrollment ID | I20190724003278 |
| Full Name | Todd Alexander Quackenbush |
| Organization Legal Name | KAWEAH DELTA HEALTH CARE INC |
| Address |
1110 S Ben Maddox Way Suite B Visalia CA 93292-3643 |
| Phone Number | 5596244800 |
| Gender | M |
| Medical School | UNIFORMED SERVICES UNIVERSITY OF THE HEALTH SCIENCES |
| Graduation Year | 2004 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 4082923818 |
| Number of Group Practice Members | 70 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 1110 S Ben Maddox Way, Suite B, Visalia, CA 93292-3643 | 5596244800 | KAWEAH DELTA HEALTH CARE INC |
| Organization Legal Name | KAWEAH DELTA HEALTH CARE INC |
| Physicians | 78 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Benjamin D Simpson | Physician Assistant | Kaweah Delta Health Care Inc | 5400 W Hillsdale Ave, Visalia, CA 93291-8222 |
| Reza Rafie | Cardiovascular Disease (cardiology) | Kaweah Delta Health Care Inc | 938 N Cherry St, Tulare, CA 93274-2210 |
| Anthony Marciano | Physical Therapy | Kaweah Delta Health Care Inc | 119 N Akers St, Visalia, CA 93291-5122 |
| Alex N Lechtman | Plastic and Reconstructive Surgery | Kaweah Delta Health Care Inc | 5530 Avenida De Los Robles, Visalia, CA 93291-5174 |
| Craig Alan Calloway | Otolaryngology | Kaweah Delta Health Care Inc | 5333 W Hillsdale Ave, Visalia, CA 93291-5143 |
| San Juanita B Castellano | Nurse Practitioner | Kaweah Delta Health Care Inc | 5400 W Hillsdale Ave, Visalia, CA 93291-8222 |
| Julieann Gonzales | Nurse Practitioner | Kaweah Delta Health Care Inc | 5400 W Hillsdale Ave, Visalia, CA 93291-8222 |
| Dalila Kim | Nurse Practitioner | Kaweah Delta Health Care Inc | 5400 W Hillsdale Ave, Visalia, CA 93291-8222 |
| Saba Halim Khalid | Pediatric Medicine | Kaweah Delta Health Care Inc | 5400 W Hillsdale Ave, Visalia, CA 93291-8222 |
| Jeffrey L Hagen | Podiatry | Kaweah Delta Health Care Inc | 5400 W Hillsdale Ave, Visalia, CA 93291-8222 |
| Street Address |
1110 S BEN MADDOX WAY SUITE B |
| City | VISALIA |
| State | CA |
| Zip | 93292-3643 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| William E Sweet | Chiropractic | 2025 E Noble Ave C, Visalia, CA 93292-1520 | |
| Wen L Chu | Psychiatry | County of Tulare | 520 E Tulare Ave, Visalia, CA 93292-3629 |
| Katherine G Hemela | Psychiatry | County of Tulare | 520 E Tulare Ave, Visalia, CA 93292-3629 |
| Larry P Willett | Clinical Social Worker | County of Tulare | 520 E Tulare Ave, Visalia, CA 93292-3629 |
| Diane W Kecskes | Psychiatry | County of Tulare | 520 E Tulare Ave, Visalia, CA 93292-3629 |
| Mary Ann Flavan | Psychiatry | County of Tulare | 520 E Tulare Ave, Visalia, CA 93292-3629 |
| Suresh C Bangara | Psychiatry | County of Tulare | 520 E Tulare Ave, Visalia, CA 93292-3629 |
| Gene P Libunao | Psychiatry | County of Tulare | 520 E Tulare Ave, Visalia, CA 93292-3629 |
| Brandon Y Lee | Certified Registered Nurse Anesthetist (crna) | Anesthesia Management Partners A Professional Nursing Corporation | 1337 S Lovers Ln, Visalia, CA 93292-5249 |
| Casey E Martin | Certified Registered Nurse Anesthetist (crna) | Anesthesia Management Partners A Professional Nursing Corporation | 1337 S Lovers Ln, Visalia, CA 93292-5249 |
| Find all physicians in zip 93292 | |||
| City | VISALIA |
| Zip Code | 93292 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | VISALIA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Todd Alexander Quackenbush.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.