Kaweah Delta Health Care District | |
505 W Main St Ste B Visalia CA 93291-6149 | |
(559) 627-8600 | |
Not Available |
Full Name | Kaweah Delta Health Care District |
---|---|
Speciality | Clinic/Center |
Location | 505 W Main St Ste B, Visalia, California |
Authorized Official Name and Position | Malinda Tupper (VP CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 5596244065 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Kaweah Delta Health Care District 400 W Mineral King Ave Visalia CA 93291-6237 Ph: (559) 624-2105 | Kaweah Delta Health Care District 505 W Main St Ste B Visalia CA 93291-6149 Ph: (559) 627-8600 |
NPI Number | 1326704529 |
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Provider Enumeration Date | 11/11/2021 |
Last Update Date | 11/11/2021 |
Medicare PECOS PAC ID | 6608778790 |
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Medicare Enrollment ID | O20110914000795 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326704529 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Provider Name | Julius Franklin Metts |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1790763183 PECOS PAC ID: 3971491341 Enrollment ID: I20040308000631 |
Provider Name | Daniel J Boken |
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Provider Type | Practitioner - Infectious Disease |
Provider Identifiers | NPI Number: 1538250808 PECOS PAC ID: 4183614175 Enrollment ID: I20040512001623 |
Provider Name | Joseph Cheng-thai Chen |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1841362183 PECOS PAC ID: 9436128949 Enrollment ID: I20040930001132 |
Provider Name | Richard B Williams |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1477602746 PECOS PAC ID: 9739132382 Enrollment ID: I20050223000984 |
Provider Name | Daniel B Brown |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1215981535 PECOS PAC ID: 7810930393 Enrollment ID: I20050606000794 |
Provider Name | Miguel E Alvidrez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1932110608 PECOS PAC ID: 8224066659 Enrollment ID: I20050727001145 |
Provider Name | Monica M Manga |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1669479630 PECOS PAC ID: 0345262085 Enrollment ID: I20051222000358 |
Provider Name | Ikwinder K Singh |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1275611840 PECOS PAC ID: 7810905809 Enrollment ID: I20060403000424 |
Provider Name | Khadija S Rashid |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1467593459 PECOS PAC ID: 5698799088 Enrollment ID: I20070605000707 |
Provider Name | Daniel L Allain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1871504548 PECOS PAC ID: 3971602384 Enrollment ID: I20070626000642 |
Provider Name | Keith Quattrocchi |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1730180910 PECOS PAC ID: 6709825904 Enrollment ID: I20071013000111 |
Provider Name | Mary Staton |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154528313 PECOS PAC ID: 0840386173 Enrollment ID: I20071018000370 |
Provider Name | Dennis E Johnson |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1972512432 PECOS PAC ID: 7911088968 Enrollment ID: I20080115000798 |
Provider Name | Bahman Falakassa |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1982649331 PECOS PAC ID: 6800979402 Enrollment ID: I20080205000538 |
Provider Name | Bryan C Oh |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1639355472 PECOS PAC ID: 8224111505 Enrollment ID: I20080208000550 |
Provider Name | Charles Y Liu |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1568406080 PECOS PAC ID: 5496830036 Enrollment ID: I20080306000737 |
Provider Name | Robert D Allen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1629074489 PECOS PAC ID: 9739255233 Enrollment ID: I20080908000177 |
Provider Name | William J M Roach |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1538125497 PECOS PAC ID: 6406914050 Enrollment ID: I20081025000178 |
Provider Name | Harry R Lively |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1922154863 PECOS PAC ID: 4385704881 Enrollment ID: I20081113000346 |
Provider Name | Frederick William Mayer |
---|---|
Provider Type | Practitioner - Cardiac Surgery |
Provider Identifiers | NPI Number: 1366417297 PECOS PAC ID: 5395633564 Enrollment ID: I20081126000419 |
Provider Name | Ravi Kumar |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1003859414 PECOS PAC ID: 9335163880 Enrollment ID: I20090529000248 |
Provider Name | Michael Keith Mclean |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1831276468 PECOS PAC ID: 1153307566 Enrollment ID: I20090819000193 |
Provider Name | David Cislowski |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1619924917 PECOS PAC ID: 0345306346 Enrollment ID: I20100503000224 |
Provider Name | Ronald Marconi |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1245364801 PECOS PAC ID: 8527252832 Enrollment ID: I20101101000649 |
Provider Name | Leslie D Cahan |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1063583979 PECOS PAC ID: 4082809033 Enrollment ID: I20101116000619 |
Provider Name | Paul I Campos |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1457664062 PECOS PAC ID: 3476740275 Enrollment ID: I20101206000867 |
Provider Name | Dawn S Parsley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902930621 PECOS PAC ID: 3870774631 Enrollment ID: I20110228000050 |
Provider Name | Richard Leo Pantera |
---|---|
Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1457461725 PECOS PAC ID: 6709050545 Enrollment ID: I20111114000424 |
Provider Name | Michelle L Cody |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1093072480 PECOS PAC ID: 7517122930 Enrollment ID: I20120709000568 |
Provider Name | Farshad Karimpour |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1679768204 PECOS PAC ID: 6709940067 Enrollment ID: I20120904000666 |
Provider Name | Debbie Joyce Williams |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1326320094 PECOS PAC ID: 1456590512 Enrollment ID: I20130620000539 |
Provider Name | Lamar O Mack |
---|---|
Provider Type | Practitioner - Vascular Surgery |
Provider Identifiers | NPI Number: 1093970535 PECOS PAC ID: 6901046218 Enrollment ID: I20130710000550 |
Provider Name | Mario Martinez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801183181 PECOS PAC ID: 1850529645 Enrollment ID: I20140125000297 |
Provider Name | Shashank Jolly |
---|---|
Provider Type | Practitioner - Cardiac Surgery |
Provider Identifiers | NPI Number: 1902047814 PECOS PAC ID: 3779634522 Enrollment ID: I20140307000197 |
Provider Name | Fiel D Gamad |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114342805 PECOS PAC ID: 7012130396 Enrollment ID: I20140514002260 |
Provider Name | Jonathan Joseph Russin |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1255562054 PECOS PAC ID: 3375781149 Enrollment ID: I20140711001486 |
Provider Name | Vicken Y Totten |
---|---|
Provider Type | Practitioner - Emergency Medicine |
Provider Identifiers | NPI Number: 1831179001 PECOS PAC ID: 3375552995 Enrollment ID: I20140916000015 |
Provider Name | Eugenia Magahis |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023419686 PECOS PAC ID: 5698090918 Enrollment ID: I20150209001595 |
Provider Name | Deven Khosla |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1013962885 PECOS PAC ID: 1456360908 Enrollment ID: I20150713001850 |
Provider Name | Brian Lee |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1497088637 PECOS PAC ID: 0749593366 Enrollment ID: I20150724011272 |
Provider Name | So Yun Ahn |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306248703 PECOS PAC ID: 2365756202 Enrollment ID: I20150805007696 |
Provider Name | Beth Ann Hirsch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1154523504 PECOS PAC ID: 5991899841 Enrollment ID: I20160125000203 |
Provider Name | Barbara J Uichanco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679932164 PECOS PAC ID: 7113225947 Enrollment ID: I20160412001683 |
Provider Name | Kamel M Kamel |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316379712 PECOS PAC ID: 0648560615 Enrollment ID: I20160602002110 |
Provider Name | Ehab A Swehli |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1134551534 PECOS PAC ID: 5991099905 Enrollment ID: I20160812001250 |
Provider Name | John Mullen |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1346658390 PECOS PAC ID: 4587950126 Enrollment ID: I20160908001634 |
Provider Name | Irene Gutierrez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1831432137 PECOS PAC ID: 7113151648 Enrollment ID: I20160912000611 |
Provider Name | Jacqueline A Hunter |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205127651 PECOS PAC ID: 3173700861 Enrollment ID: I20161012000754 |
Provider Name | Carla M Aldaco |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831559848 PECOS PAC ID: 1951681899 Enrollment ID: I20161209001640 |
Provider Name | Asma Tariq |
---|---|
Provider Type | Practitioner - Hospitalist |
Provider Identifiers | NPI Number: 1043642440 PECOS PAC ID: 0042595597 Enrollment ID: I20170323001252 |
Provider Name | Cretia R Guzman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1306390638 PECOS PAC ID: 3072882372 Enrollment ID: I20170629001823 |
Provider Name | Christopher S Christiansen |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1457747594 PECOS PAC ID: 6709165012 Enrollment ID: I20170629001909 |
Provider Name | Ankur V Gupta |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1396990560 PECOS PAC ID: 1850446998 Enrollment ID: I20170818000426 |
Provider Name | Megan Marie Goddard |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831629682 PECOS PAC ID: 2264706555 Enrollment ID: I20170926001440 |
Provider Name | Gurpreet Kaur Clair |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1891239646 PECOS PAC ID: 7416230461 Enrollment ID: I20170927002230 |
Provider Name | Smitha Fleviya |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1558818153 PECOS PAC ID: 8921383761 Enrollment ID: I20171019002130 |
Provider Name | Olga Lidia Perez-rodriguez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285155374 PECOS PAC ID: 6305102773 Enrollment ID: I20171117002431 |
Provider Name | Andrew Kim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1316347537 PECOS PAC ID: 1052613924 Enrollment ID: I20171212002118 |
Provider Name | Michael Anthony Serna |
---|---|
Provider Type | Practitioner - Psychiatry |
Provider Identifiers | NPI Number: 1548675135 PECOS PAC ID: 7719292143 Enrollment ID: I20171214002493 |
Provider Name | Stephen Christopher Zerlang |
---|---|
Provider Type | Practitioner - Osteopathic Manipulative Medicine |
Provider Identifiers | NPI Number: 1053722405 PECOS PAC ID: 1355562422 Enrollment ID: I20171214002695 |
Provider Name | Magda Lilian Ramirez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508285933 PECOS PAC ID: 2264650233 Enrollment ID: I20180129001379 |
Provider Name | Ying Thao |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1447759725 PECOS PAC ID: 8527328558 Enrollment ID: I20180212001424 |
Provider Name | Dalila Kim |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043733827 PECOS PAC ID: 7517227341 Enrollment ID: I20180215002376 |
Provider Name | Yan Jiang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1578074035 PECOS PAC ID: 6901151182 Enrollment ID: I20180611002846 |
Provider Name | Darrin J Lee |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1558694273 PECOS PAC ID: 9133474851 Enrollment ID: I20180621001133 |
Provider Name | Ryan H Howard |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1194104570 PECOS PAC ID: 9638447782 Enrollment ID: I20180626000510 |
Provider Name | Vivek A Mehta |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1033433776 PECOS PAC ID: 8123373545 Enrollment ID: I20180626000956 |
Provider Name | Sarmad Said |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1912266511 PECOS PAC ID: 6709167174 Enrollment ID: I20180711000708 |
Provider Name | Joseph Ford |
---|---|
Provider Type | Practitioner - Urology |
Provider Identifiers | NPI Number: 1912261405 PECOS PAC ID: 1557662707 Enrollment ID: I20180813003128 |
Provider Name | Omar Eduardo Mejia |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1679097729 PECOS PAC ID: 4183974835 Enrollment ID: I20180830001902 |
Provider Name | Jodi L Parungao |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1932528965 PECOS PAC ID: 1355560954 Enrollment ID: I20181016003217 |
Provider Name | Samantha Leigh Kennedy |
---|---|
Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1588049415 PECOS PAC ID: 6507105707 Enrollment ID: I20190306001110 |
Provider Name | Rebecca Barajas |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1972061216 PECOS PAC ID: 4082947056 Enrollment ID: I20190605002770 |
Provider Name | Sarah M Briggs |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790254597 PECOS PAC ID: 8729311451 Enrollment ID: I20190611002787 |
Provider Name | Lucy Elizabeth Barber |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1073072864 PECOS PAC ID: 0042543415 Enrollment ID: I20190618000866 |
Provider Name | April Dawn Matthews |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1992267389 PECOS PAC ID: 9133453897 Enrollment ID: I20190628002622 |
Provider Name | Roberto C. Pardo |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1922482108 PECOS PAC ID: 2860796208 Enrollment ID: I20190711003569 |
Provider Name | Armen Eskandari |
---|---|
Provider Type | Practitioner - Gastroenterology |
Provider Identifiers | NPI Number: 1043653413 PECOS PAC ID: 7416282470 Enrollment ID: I20190712000979 |
Provider Name | Jun H Kim |
---|---|
Provider Type | Practitioner - Orthopedic Surgery |
Provider Identifiers | NPI Number: 1841638699 PECOS PAC ID: 2062764657 Enrollment ID: I20191015001015 |
Provider Name | Eena Saesee-noi |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1801353305 PECOS PAC ID: 2769814060 Enrollment ID: I20191106003257 |
Provider Name | Joe Forrest Croft |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1831656933 PECOS PAC ID: 9739511049 Enrollment ID: I20191106003440 |
Provider Name | Rajinderpal S Chahal |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1013321496 PECOS PAC ID: 8426312604 Enrollment ID: I20191205000718 |
Provider Name | Veronica Marroquin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1124511969 PECOS PAC ID: 1456786904 Enrollment ID: I20200110002227 |
Provider Name | Ahmed M Amari |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1437509296 PECOS PAC ID: 9537406095 Enrollment ID: I20200127001750 |
Provider Name | Sundeep Grandhe |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1689101578 PECOS PAC ID: 2264868496 Enrollment ID: I20200207000771 |
Provider Name | Craig Jensen Dixon |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1477199727 PECOS PAC ID: 5991134983 Enrollment ID: I20200325003843 |
Provider Name | Mary Denise Escobar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1083238976 PECOS PAC ID: 8527484526 Enrollment ID: I20200821000250 |
Provider Name | George Fredrik Gade |
---|---|
Provider Type | Practitioner - Neurosurgery |
Provider Identifiers | NPI Number: 1083669600 PECOS PAC ID: 6901703123 Enrollment ID: I20210222001361 |
Provider Name | Sharon Renae Miller |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821682709 PECOS PAC ID: 6204244213 Enrollment ID: I20210412002154 |
Provider Name | Donna Marie Rosario |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629673157 PECOS PAC ID: 7315346434 Enrollment ID: I20210521002424 |
Provider Name | Mariam Ashraf Bassali |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1801386800 PECOS PAC ID: 5799181418 Enrollment ID: I20210903002714 |
Provider Name | Kristina M Komar |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1548740426 PECOS PAC ID: 0648523167 Enrollment ID: I20210906000029 |
Provider Name | Atul Singla |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1285899302 PECOS PAC ID: 1153549597 Enrollment ID: I20220104002288 |
Provider Name | Francisco B Rodriguez |
---|---|
Provider Type | Practitioner - Thoracic Surgery |
Provider Identifiers | NPI Number: 1063434504 PECOS PAC ID: 3678543394 Enrollment ID: I20220330002341 |
Provider Name | Tammie M Hoffman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1467033886 PECOS PAC ID: 3274929658 Enrollment ID: I20220412001533 |
Provider Name | Daniela Rangel Orozco |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1083176689 PECOS PAC ID: 4981086931 Enrollment ID: I20220808001154 |
Provider Name | Zakary James Holland |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1265167241 PECOS PAC ID: 0446627954 Enrollment ID: I20221111001381 |
Provider Name | Emily Rose Zerlang |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285357061 PECOS PAC ID: 4981075504 Enrollment ID: I20230118002654 |
Provider Name | Stella Botello |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710114061 PECOS PAC ID: 0042682130 Enrollment ID: I20230220000616 |
Provider Name | Jessica Nicole Jaimez |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023723061 PECOS PAC ID: 7012372337 Enrollment ID: I20230420000608 |
Provider Name | Emily Ann Ropes |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1528758745 PECOS PAC ID: 2961856760 Enrollment ID: I20230927004229 |
Provider Name | Jordan Sierra Surfus |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1790569598 PECOS PAC ID: 2163872326 Enrollment ID: I20231229001950 |
Provider Name | Ryan Lee Smith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1609653237 PECOS PAC ID: 3971954538 Enrollment ID: I20240108004404 |
Provider Name | Jacqueline Servin |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730962184 PECOS PAC ID: 3779934385 Enrollment ID: I20240108006130 |
Provider Name | Rafael A Martinez |
---|---|
Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1033572177 PECOS PAC ID: 3476887142 Enrollment ID: I20240110002684 |
Provider Name | Maria Luisa Mendoza |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1790011781 PECOS PAC ID: 5698126852 Enrollment ID: I20240111004261 |
Provider Name | Gabriela Martinez |
---|---|
Provider Type | Practitioner - Marriage And Family Therapist |
Provider Identifiers | NPI Number: 1770607368 PECOS PAC ID: 5991156051 Enrollment ID: I20240112002865 |
Provider Name | Savanna L Johnson |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1851015622 PECOS PAC ID: 8527438613 Enrollment ID: I20240328003930 |
Provider Name | Shirisha A S Avadhanula |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1891136263 PECOS PAC ID: 9133456262 Enrollment ID: I20240501003303 |
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 | |
Compassionate Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 306 N Conyer St, Visalia, CA 93291 Phone: 559-713-1101 Fax: 559-713-1121 | |
Oakview Medical Group Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1011 N. Demaree St., Visalia, CA 93291 Phone: 559-734-6700 Fax: 559-734-6705 | |
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 | |
Premier Walk-in Medical, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4025 W Caldwell Ave, Suite A, Visalia, CA 93277 Phone: 559-625-6080 Fax: 559-625-6024 | |
Premier Walk-in Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4025 W Caldwell Ave, Suite A, Visalia, CA 93277 Phone: 559-733-4505 Fax: 559-733-0876 | |
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 |