| Orthopaedic Assoc Medical Clinic, Inc. | |
|
820 S Akers, 220, Visalia, CA 93277-8309 | |
| (559) 625-0551 | |
| (559) 733-4475 |
| Full Name | Orthopaedic Assoc Medical Clinic, Inc. |
|---|---|
| Type | Facility |
| Speciality | Orthopaedic Surgery |
| Location | 820 S Akers, Visalia, California |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659473171 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | E5270 (California) | Secondary |
| 207X00000X | Orthopaedic Surgery | (* (Not Available)) | Primary |
| Provider Name | Bruce N Le |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1558465799 PECOS PAC ID: 5799722740 Enrollment ID: I20050412000656 |
| Provider Name | Donald R Schengel |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1376645895 PECOS PAC ID: 4880624477 Enrollment ID: I20050813000229 |
| Provider Name | Burton L Redd |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1437269206 PECOS PAC ID: 6709961451 Enrollment ID: I20090706000476 |
| Provider Name | Ian C Duncan |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1982866927 PECOS PAC ID: 5395802490 Enrollment ID: I20120827000660 |
| Provider Name | Mathias W Daniels |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1255599015 PECOS PAC ID: 0143485730 Enrollment ID: I20131211000488 |
| Provider Name | Kazi S Rahman |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1801222732 PECOS PAC ID: 3870887367 Enrollment ID: I20160805001243 |
| Provider Name | Seth Hall Criner |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1972824100 PECOS PAC ID: 0244549772 Enrollment ID: I20161115002344 |
| Provider Name | Jennifer D Nelsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346786019 PECOS PAC ID: 3274800529 Enrollment ID: I20170517001524 |
| Provider Name | Jun Kim |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1841638699 PECOS PAC ID: 2062764657 Enrollment ID: I20191015001015 |
| Provider Name | Amanda May Pacillas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700409943 PECOS PAC ID: 4688081482 Enrollment ID: I20210323001380 |
| Provider Name | Cori J Haynes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750096236 PECOS PAC ID: 8325407836 Enrollment ID: I20230630002117 |
| Provider Name | Ryan Erich Dean |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1497251722 PECOS PAC ID: 2567826233 Enrollment ID: I20230913002927 |
| Mailing Address | Practice Location Address |
|---|---|
| Orthopaedic Assoc Medical Clinic, Inc. Po Box 2632, Visalia, CA 93279-2632 Ph: (559) 625-0551 | Orthopaedic Assoc Medical Clinic, Inc. 820 S Akers, 220, Visalia, CA 93277-8309 Ph: (559) 625-0551 |