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5405 W Hillsdale Ave Visalia CA 93291-5156 | |
(559) 556-5591 | |
(888) 720-1716 |
Full Name | |
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Speciality | Family Medicine |
Location | 5405 W Hillsdale Ave, Visalia, California |
Authorized Official Name and Position | Fausto Castillo (OWNER) |
Authorized Official Contact | 3239799404 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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5405 W Hillsdale Ave Visalia CA 93291-5156 Ph: (559) 556-5591 | 5405 W Hillsdale Ave Visalia CA 93291-5156 Ph: (559) 556-5591 |
NPI Number | 1245945203 |
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Provider Enumeration Date | 01/13/2023 |
Last Update Date | 07/29/2024 |
Medicare PECOS PAC ID | 2567827348 |
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Medicare Enrollment ID | O20230501000625 |
Identifier | Type | State | Issuer |
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1245945203 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Fausto J J Castillo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1780115972 PECOS PAC ID: 2264856616 Enrollment ID: I20201217001850 |
Provider Name | Padma Ganesh Nayak |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821596974 PECOS PAC ID: 8628331519 Enrollment ID: I20230511003318 |
Provider Name | Thalia C Rivera |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1235911132 PECOS PAC ID: 3072963073 Enrollment ID: I20240102003807 |
Wei Tzuoh Chen Md Facp A Professional Corp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 431 S Bridge Street, Visalia, CA 93277 Phone: 559-732-4662 Fax: 559-636-2733 | |
San Joaquin Prime Care Medical Group Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 536 N Court St, Visalia, CA 93291 Phone: 559-592-2134 | |
County Of Tulare Health And Human Services Agency Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2505 N. Dinuba Blvd., Visalia, CA 93291 Phone: 559-624-8000 |