| Visalia Recovery Center | |
|
942 S Santa Fe St Visalia CA 93292-2912 | |
| (559) 636-4000 | |
| (559) 624-1067 |
| Full Name | Visalia Recovery Center |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 942 S Santa Fe St, Visalia, California |
| Authorized Official Name and Position | Natalie Bolin (DIRECTOR OF MENTAL HEALTH) |
| Authorized Official Contact | 5596247445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visalia Recovery Center 5957 S Mooney Blvd Visalia CA 93277-9394 Ph: (559) 624-7445 | Visalia Recovery Center 942 S Santa Fe St Visalia CA 93292-2912 Ph: (559) 636-4000 |
| NPI Number | 1407304678 |
|---|---|
| Provider Enumeration Date | 09/16/2016 |
| Last Update Date | 04/08/2024 |
| Certification Date | 04/08/2024 |
| Medicare PECOS PAC ID | 1456264555 |
|---|---|
| Medicare Enrollment ID | O20031105000821 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407304678 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 540002HN (California) | Primary |
| Provider Name | Shyam Bhaskar |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1194788158 PECOS PAC ID: 3971498320 Enrollment ID: I20040216001117 |
| Provider Name | Harish G Shah |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649264060 PECOS PAC ID: 3072409713 Enrollment ID: I20040227000495 |
| Provider Name | Barry Roger Smith |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1548200488 PECOS PAC ID: 3173418365 Enrollment ID: I20040309000903 |
| Provider Name | Michael Irwin Boone |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1467494203 PECOS PAC ID: 1456248814 Enrollment ID: I20040309000995 |
| Provider Name | Kirk D Coverston |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1487726915 PECOS PAC ID: 0143111732 Enrollment ID: I20040323000923 |
| Provider Name | David E Kilgore |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548369358 PECOS PAC ID: 2062405160 Enrollment ID: I20040405001711 |
| Provider Name | Side Xi |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1679643688 PECOS PAC ID: 4981689239 Enrollment ID: I20040621001388 |
| Provider Name | Christopher Wood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1538121272 PECOS PAC ID: 8022096635 Enrollment ID: I20040709001413 |
| Provider Name | Anthony L Coppola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679542187 PECOS PAC ID: 8123096955 Enrollment ID: I20040920001084 |
| Provider Name | Wen L Chu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659488963 PECOS PAC ID: 6507826427 Enrollment ID: I20041014001183 |
| Provider Name | Hoang D Tieu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1215018783 PECOS PAC ID: 4688630734 Enrollment ID: I20041209000694 |
| Provider Name | Karen A Haught |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1396856233 PECOS PAC ID: 2365355468 Enrollment ID: I20041220000728 |
| Provider Name | Asha Gaur |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1598760472 PECOS PAC ID: 1355309659 Enrollment ID: I20050103000325 |
| Provider Name | Dawn Marie M Risley |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1144280231 PECOS PAC ID: 9032156070 Enrollment ID: I20050412000597 |
| Provider Name | Henry Ow-yong |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154435428 PECOS PAC ID: 2769419720 Enrollment ID: I20050720001222 |
| Provider Name | Naeem A Siddiqi |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1134190374 PECOS PAC ID: 8426084153 Enrollment ID: I20050908001224 |
| Provider Name | Lester E Love |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366687469 PECOS PAC ID: 0648295907 Enrollment ID: I20051006000324 |
| Provider Name | Arieh Raumon Whisenhunt |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740373414 PECOS PAC ID: 3173538428 Enrollment ID: I20060208000443 |
| Provider Name | Hamid Q Sial |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003911637 PECOS PAC ID: 0042227118 Enrollment ID: I20060314000718 |
| Provider Name | Michael J Henry |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1689644817 PECOS PAC ID: 4880626878 Enrollment ID: I20060731000122 |
| Provider Name | Thomas William Haspel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104854843 PECOS PAC ID: 5496759441 Enrollment ID: I20060905000309 |
| Provider Name | Sebhat Afework |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1891821666 PECOS PAC ID: 3375641863 Enrollment ID: I20070606000741 |
| Provider Name | Tom Yang |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1548346695 PECOS PAC ID: 3375623697 Enrollment ID: I20071227000483 |
| Provider Name | Sukhvinder Bhajal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1346270113 PECOS PAC ID: 4183637846 Enrollment ID: I20080215000581 |
| Provider Name | Sanmukan Surulinathan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881780583 PECOS PAC ID: 8628140340 Enrollment ID: I20080711000306 |
| Provider Name | Nicholas Lin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1417168998 PECOS PAC ID: 4789746223 Enrollment ID: I20081217000646 |
| Provider Name | Sherlyn Ricablanca Porter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437331899 PECOS PAC ID: 5698825719 Enrollment ID: I20090611000447 |
| Provider Name | Rajdeep V Ranade |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1164614400 PECOS PAC ID: 0446342083 Enrollment ID: I20090718000005 |
| Provider Name | Pawan Kumar |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1972541829 PECOS PAC ID: 9335152594 Enrollment ID: I20090831000217 |
| Provider Name | Ravindra R Chand |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1013099951 PECOS PAC ID: 6507846250 Enrollment ID: I20091125000607 |
| Provider Name | Laurie Hagopian-dresser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578513610 PECOS PAC ID: 9638201833 Enrollment ID: I20100723000748 |
| Provider Name | Kai-lieh Chen |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1548384712 PECOS PAC ID: 0042335879 Enrollment ID: I20100916000311 |
| Provider Name | Angel L Rivera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578610028 PECOS PAC ID: 0941497705 Enrollment ID: I20101207000362 |
| Provider Name | Hoang U Le |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1205075348 PECOS PAC ID: 4688863871 Enrollment ID: I20110104000303 |
| Provider Name | Anjali Mahoney |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851553564 PECOS PAC ID: 1759570351 Enrollment ID: I20110113000299 |
| Provider Name | Wade Exum |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891855615 PECOS PAC ID: 6406862218 Enrollment ID: I20110610000247 |
| Provider Name | Shyam A Kumbhani |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1124256904 PECOS PAC ID: 9133397367 Enrollment ID: I20110714000267 |
| Provider Name | Arturo Medrano Uribe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689862088 PECOS PAC ID: 0345428066 Enrollment ID: I20110721000077 |
| Provider Name | Christine S Mcmillan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376812073 PECOS PAC ID: 3375791320 Enrollment ID: I20120925000452 |
| Provider Name | Julie Ann H Phenco |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154520708 PECOS PAC ID: 5698811818 Enrollment ID: I20130515000632 |
| Provider Name | Farnoush Karimpour |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902248859 PECOS PAC ID: 7416182654 Enrollment ID: I20131024001189 |
| Provider Name | Matthew N Lilly |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346571643 PECOS PAC ID: 7315081387 Enrollment ID: I20131227000312 |
| Provider Name | Mary Ann Flavan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1740232990 PECOS PAC ID: 9931006707 Enrollment ID: I20140421002155 |
| Provider Name | Colleen R Black |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801879879 PECOS PAC ID: 6204051139 Enrollment ID: I20140708002076 |
| Provider Name | Katherine G Hemela |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730354119 PECOS PAC ID: 2668794728 Enrollment ID: I20141201001942 |
| Provider Name | Harkirat S Saggu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306053392 PECOS PAC ID: 3274716584 Enrollment ID: I20150210000983 |
| Provider Name | Hanh Thi Nguyen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992144992 PECOS PAC ID: 7315253374 Enrollment ID: I20150904002372 |
| Provider Name | Naile Barzaga Hazrati |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245429968 PECOS PAC ID: 1951491075 Enrollment ID: I20160125002355 |
| Provider Name | Diane W Kecskes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649208638 PECOS PAC ID: 8628380698 Enrollment ID: I20160310002464 |
| Provider Name | Chia-wen Annie Chang |
|---|---|
| Provider Type | Practitioner - Ophthalmology |
| Provider Identifiers | NPI Number: 1417210451 PECOS PAC ID: 6204070030 Enrollment ID: I20160727002544 |
| Provider Name | Theodore Joseph Sobieralski |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1700825866 PECOS PAC ID: 3779861141 Enrollment ID: I20161107000445 |
| Provider Name | Ricki Leigh L Brampton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487964755 PECOS PAC ID: 7911200712 Enrollment ID: I20161206002191 |
| Provider Name | Diana L November |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538449319 PECOS PAC ID: 0143591685 Enrollment ID: I20170802001541 |
| Provider Name | Suresh C Bangara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1952466070 PECOS PAC ID: 1456258177 Enrollment ID: I20170809002975 |
| Provider Name | Belinda E Navarro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356764153 PECOS PAC ID: 6800168634 Enrollment ID: I20170814003252 |
| Provider Name | Devin Gardner Dimond |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1134521750 PECOS PAC ID: 6305193749 Enrollment ID: I20180717002197 |
| Provider Name | Jacob A Leivent |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326452756 PECOS PAC ID: 1557629284 Enrollment ID: I20180817002244 |
| Provider Name | Bishoy G Kamel |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1992169643 PECOS PAC ID: 4981949211 Enrollment ID: I20181214001280 |
| Provider Name | Carolyn E Gress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366918179 PECOS PAC ID: 3678811890 Enrollment ID: I20190309000052 |
| Provider Name | Guillenne Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1649756719 PECOS PAC ID: 4880937408 Enrollment ID: I20190523000805 |
| Provider Name | Gagandeep K Randhawa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154736742 PECOS PAC ID: 1951634831 Enrollment ID: I20190607001423 |
| Provider Name | Harriette D Green |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700812765 PECOS PAC ID: 2961445705 Enrollment ID: I20191126000665 |
| Provider Name | Ahmed M Amari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437509296 PECOS PAC ID: 9537406095 Enrollment ID: I20200127001750 |
| Provider Name | Anurag K Goel |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033405592 PECOS PAC ID: 1557518206 Enrollment ID: I20200226002704 |
| Provider Name | Hilda A Fujimoto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881212066 PECOS PAC ID: 8123431616 Enrollment ID: I20201229003076 |
| Provider Name | Jessica Lynne Clark |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487802773 PECOS PAC ID: 9234534280 Enrollment ID: I20210910000724 |
| Provider Name | Joseph A Cook |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1114136850 PECOS PAC ID: 1850785239 Enrollment ID: I20220301000966 |
| Provider Name | Helen Vafaie |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1003805458 PECOS PAC ID: 5698741320 Enrollment ID: I20220505001831 |
| Provider Name | Nicole C Isakson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265847289 PECOS PAC ID: 6305228776 Enrollment ID: I20220802000095 |
| Provider Name | Deanna Spence |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750817482 PECOS PAC ID: 6901282250 Enrollment ID: I20221010003201 |
| Provider Name | Rocio Velasco |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568007003 PECOS PAC ID: 1456729649 Enrollment ID: I20221118001662 |
| Provider Name | Caitlin C Cochran |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245756774 PECOS PAC ID: 6002286754 Enrollment ID: I20221221002419 |
| Provider Name | Sam Vang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447975875 PECOS PAC ID: 4385018258 Enrollment ID: I20230315001948 |
| Provider Name | Heather S Rosdail |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407578537 PECOS PAC ID: 5193199933 Enrollment ID: I20230320000229 |
| Provider Name | Baljit S Dhillon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932724168 PECOS PAC ID: 1759794506 Enrollment ID: I20230320001300 |
| Provider Name | Cristina Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134374218 PECOS PAC ID: 8022476266 Enrollment ID: I20230621001783 |
| Provider Name | Maria D Arias |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033803762 PECOS PAC ID: 5092176065 Enrollment ID: I20230807003799 |
| Provider Name | Michelle Leann Reeves |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1699316802 PECOS PAC ID: 6608212642 Enrollment ID: I20240312003325 |
| Provider Name | Mary D Alvarez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1588212807 PECOS PAC ID: 7012354814 Enrollment ID: I20240327003929 |
| Provider Name | Eriberto E Manzano |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1043234164 PECOS PAC ID: 7719324540 Enrollment ID: I20240328000721 |
| Provider Name | Michelle R Gutierrez |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1801453220 PECOS PAC ID: 3971940701 Enrollment ID: I20240328000804 |
| Provider Name | Jessica Jara |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1326176777 PECOS PAC ID: 6608214861 Enrollment ID: I20240405003791 |
| Provider Name | Jaqueline Mcwalter Mohan |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1376729749 PECOS PAC ID: 2961840178 Enrollment ID: I20240408001666 |
| Provider Name | Nicole M Pendley |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1215322789 PECOS PAC ID: 1658719729 Enrollment ID: I20240409001896 |
| Provider Name | Milena Padilla-nowakowski |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1538383518 PECOS PAC ID: 3779922638 Enrollment ID: I20240411004499 |
| Provider Name | Sharon M Ross |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740824390 PECOS PAC ID: 7810336179 Enrollment ID: I20240418003689 |
| Provider Name | Christopher John Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588260285 PECOS PAC ID: 2365882339 Enrollment ID: I20240425000264 |
| Provider Name | Agustin Vieyra Ornelas |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1750658506 PECOS PAC ID: 6305283102 Enrollment ID: I20240606000039 |
Jose D Palafox,lmft Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1029 N Demaree St, Visalia, CA 93291 Phone: 559-429-5502 | |
Koinonia Family Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4008 S Demaree St Ste A, Visalia, CA 93277 Phone: 559-635-8926 | |
Recovery Resources Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4040 S Demaree St Ste A, Visalia, CA 93277 Phone: 559-625-8176 Fax: 559-625-8179 | |
State Health Care Dual Diagnosis Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4042 S Demaree St, Visalia, CA 93277 Phone: 310-628-9512 Fax: 818-392-5025 | |
California Forensic And Clinical Psychology Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 W Main St Ste B, Visalia, CA 93291 Phone: 559-259-5886 | |
Helen Yao Liu Md Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 1837 W Dorothea Ave, Visalia, CA 93277 Phone: 559-635-1118 Fax: 559-472-3022 | |
Bella Vista Behavior Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2316 W Whitendale Ave, Suite B, #4, Visalia, CA 93277 Phone: 559-372-8175 |