| Kaweah Delta Health Care Inc | |
|
400 W Mineral King Ave Visalia CA 93291-6237 | |
| (559) 624-5006 | |
| (559) 735-3006 |
| Full Name | Kaweah Delta Health Care Inc |
|---|---|
| Speciality | General Practice |
| Location | 400 W Mineral King Ave, Visalia, California |
| Authorized Official Name and Position | Malinda Tupper (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 5966244065 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaweah Delta Health Care Inc 400 W Mineral King Ave Visalia CA 93291-6237 Ph: (559) 624-5006 | Kaweah Delta Health Care Inc 400 W Mineral King Ave Visalia CA 93291-6237 Ph: (559) 624-5006 |
| NPI Number | 1619353042 |
|---|---|
| Provider Enumeration Date | 08/07/2015 |
| Last Update Date | 07/24/2024 |
| Medicare PECOS PAC ID | 4082923818 |
|---|---|
| Medicare Enrollment ID | O20151019001526 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619353042 | NPI | - | NPPES |
| CA171873 | Other | CA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Craig Alan Calloway |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1154327153 PECOS PAC ID: 1052387065 Enrollment ID: I20040909000913 |
| Provider Name | Janice Darlene Franks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811921257 PECOS PAC ID: 7810947538 Enrollment ID: I20050129000252 |
| Provider Name | Darrin Scott Smith |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1932106309 PECOS PAC ID: 1456304682 Enrollment ID: I20050228000466 |
| Provider Name | Raul A Perez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1477509289 PECOS PAC ID: 1759359227 Enrollment ID: I20050516000962 |
| Provider Name | Cynthia D Shipp Rowell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053431882 PECOS PAC ID: 1850332107 Enrollment ID: I20050517000390 |
| Provider Name | Teresa Carmon Simas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194810739 PECOS PAC ID: 5193766988 Enrollment ID: I20050523000349 |
| Provider Name | Rohini J Joshi |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1538190806 PECOS PAC ID: 7012938327 Enrollment ID: I20051214000830 |
| Provider Name | Monica M Manga |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1669479630 PECOS PAC ID: 0345262085 Enrollment ID: I20051222000358 |
| Provider Name | Duane C Whitaker |
|---|---|
| Provider Type | Practitioner - Micrographic Dermatologic Surgery (mds) |
| Provider Identifiers | NPI Number: 1609847821 PECOS PAC ID: 5890715544 Enrollment ID: I20060131000930 |
| Provider Name | Ramon Arturo Galindo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629074687 PECOS PAC ID: 0446263693 Enrollment ID: I20060711000282 |
| Provider Name | Catherine Mcninch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1104823756 PECOS PAC ID: 0244235695 Enrollment ID: I20060919000282 |
| Provider Name | Ahmad J Shahroz |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1316967110 PECOS PAC ID: 4688567886 Enrollment ID: I20070126000380 |
| Provider Name | Nallathamby Thayapran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1386740421 PECOS PAC ID: 1254239098 Enrollment ID: I20070516000440 |
| Provider Name | Daniel L Allain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871504548 PECOS PAC ID: 3971602384 Enrollment ID: I20070626000642 |
| Provider Name | Jeffrey L Hagen |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1093792723 PECOS PAC ID: 9335145846 Enrollment ID: I20070626000713 |
| Provider Name | Mary Staton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154528313 PECOS PAC ID: 0840386173 Enrollment ID: I20071018000370 |
| Provider Name | Lawrence W Ginsberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326044181 PECOS PAC ID: 0143304071 Enrollment ID: I20080229000589 |
| Provider Name | Caroline A Millar |
|---|---|
| Provider Type | Practitioner - Diagnostic Radiology |
| Provider Identifiers | NPI Number: 1841297298 PECOS PAC ID: 4981789401 Enrollment ID: I20080307000600 |
| Provider Name | Gregory C Warner |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1699810689 PECOS PAC ID: 2567531999 Enrollment ID: I20080527000248 |
| Provider Name | Bruce C Hall |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1720085251 PECOS PAC ID: 1153497797 Enrollment ID: I20080905000448 |
| Provider Name | Marty L Prah |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1528065125 PECOS PAC ID: 0840366480 Enrollment ID: I20080905000480 |
| Provider Name | James R Guadagni |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1013913664 PECOS PAC ID: 3072689512 Enrollment ID: I20080905000520 |
| Provider Name | Robert D Allen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1629074489 PECOS PAC ID: 9739255233 Enrollment ID: I20080908000177 |
| Provider Name | Barry L Meyer |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1558368126 PECOS PAC ID: 7416023569 Enrollment ID: I20080915000109 |
| Provider Name | Joseph Chidi |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1366448318 PECOS PAC ID: 4587731658 Enrollment ID: I20080916000445 |
| Provider Name | Alex N Lechtman |
|---|---|
| Provider Type | Practitioner - Plastic And Reconstructive Surgery |
| Provider Identifiers | NPI Number: 1013913698 PECOS PAC ID: 5597832477 Enrollment ID: I20080918000087 |
| Provider Name | Thuong B Nguyen |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1831196294 PECOS PAC ID: 8628145513 Enrollment ID: I20080918000155 |
| Provider Name | Olayinka T Omololu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861445470 PECOS PAC ID: 0042378200 Enrollment ID: I20081017000132 |
| Provider Name | Neshan Tabibian |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1699772293 PECOS PAC ID: 1355409343 Enrollment ID: I20081020000511 |
| Provider Name | Jennifer K Elliott |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1952555336 PECOS PAC ID: 7214098110 Enrollment ID: I20081210000836 |
| Provider Name | Angelina Mallari |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1245470202 PECOS PAC ID: 6204980121 Enrollment ID: I20090812000155 |
| Provider Name | Anthony J Marciano |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1538193990 PECOS PAC ID: 6608920319 Enrollment ID: I20090814000362 |
| Provider Name | Joseph Manuele |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1316944952 PECOS PAC ID: 1052455920 Enrollment ID: I20100216000097 |
| Provider Name | Ralph Kingsford |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1649276296 PECOS PAC ID: 1052440534 Enrollment ID: I20100520000901 |
| Provider Name | Lance Tomooka |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1023194495 PECOS PAC ID: 4981595782 Enrollment ID: I20100621000790 |
| Provider Name | Michael S Nagatani |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1891792479 PECOS PAC ID: 9335273663 Enrollment ID: I20100823000153 |
| Provider Name | Reza Rafie |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1780910810 PECOS PAC ID: 7517142516 Enrollment ID: I20110505000619 |
| Provider Name | Kimberly A Casey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609074772 PECOS PAC ID: 1052597192 Enrollment ID: I20110525000443 |
| Provider Name | Kimberly A Dejong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598053381 PECOS PAC ID: 6800050352 Enrollment ID: I20120612000658 |
| Provider Name | Kristin Hopper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831496116 PECOS PAC ID: 8527218999 Enrollment ID: I20121019000288 |
| Provider Name | Ammon G Rasmussen |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1417105156 PECOS PAC ID: 1052593050 Enrollment ID: I20130724000316 |
| Provider Name | Sharmineh Shams |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1447522172 PECOS PAC ID: 7719129410 Enrollment ID: I20130808000672 |
| Provider Name | San Juanita B Castellano |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023440187 PECOS PAC ID: 9537390596 Enrollment ID: I20140317000724 |
| Provider Name | Ashkan Attaran |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1194043042 PECOS PAC ID: 3476794801 Enrollment ID: I20141023001820 |
| Provider Name | Tariq Javed |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891973806 PECOS PAC ID: 5496816977 Enrollment ID: I20141230001929 |
| Provider Name | Jon Knudsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871985333 PECOS PAC ID: 5395063465 Enrollment ID: I20150421002696 |
| Provider Name | Jason Andrew Mihalcin |
|---|---|
| Provider Type | Practitioner - Orthopedic Surgery |
| Provider Identifiers | NPI Number: 1568665933 PECOS PAC ID: 8123331428 Enrollment ID: I20150715002006 |
| Provider Name | Aaron G Cagle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881079283 PECOS PAC ID: 0042525404 Enrollment ID: I20150813010513 |
| Provider Name | Candice Renee Lovelace |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215248307 PECOS PAC ID: 8729228762 Enrollment ID: I20151007000792 |
| Provider Name | Barbara J Uichanco |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679932164 PECOS PAC ID: 7113225947 Enrollment ID: I20160412001683 |
| Provider Name | Catherine L Glasgow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205228012 PECOS PAC ID: 4880987536 Enrollment ID: I20160719000910 |
| Provider Name | Annita Mae Cline |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861800971 PECOS PAC ID: 2961718804 Enrollment ID: I20161024002484 |
| Provider Name | Carol S Machado |
|---|---|
| Provider Type | Practitioner - General Surgery |
| Provider Identifiers | NPI Number: 1982996450 PECOS PAC ID: 3870873177 Enrollment ID: I20161202000619 |
| Provider Name | Smeet Masih Saroia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528503760 PECOS PAC ID: 7618251588 Enrollment ID: I20170222000522 |
| Provider Name | Andrea Grace Van Beek |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760927867 PECOS PAC ID: 4688950017 Enrollment ID: I20170419000286 |
| Provider Name | Christopher S Christiansen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457747594 PECOS PAC ID: 6709165012 Enrollment ID: I20170629001909 |
| Provider Name | Neil N Patel |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1982022604 PECOS PAC ID: 5193000677 Enrollment ID: I20170831002054 |
| Provider Name | Lara Atchabahian Samourjian |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1144648262 PECOS PAC ID: 3274808852 Enrollment ID: I20171006002611 |
| Provider Name | Sandeep Singh Pabla |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386031672 PECOS PAC ID: 2163798588 Enrollment ID: I20171030001142 |
| Provider Name | Roy K Chan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700040656 PECOS PAC ID: 3577713163 Enrollment ID: I20180105001213 |
| Provider Name | Shirley C Pua |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1164426961 PECOS PAC ID: 6103968946 Enrollment ID: I20180108001481 |
| Provider Name | Dalila Kim |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043733827 PECOS PAC ID: 7517227341 Enrollment ID: I20180215002376 |
| Provider Name | Suleiman Isaac Saroia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1598128738 PECOS PAC ID: 7416218631 Enrollment ID: I20180305001972 |
| Provider Name | Noman Saif |
|---|---|
| Provider Type | Practitioner - Endocrinology |
| Provider Identifiers | NPI Number: 1669426375 PECOS PAC ID: 9739141300 Enrollment ID: I20180627001880 |
| Provider Name | Christy Elaine Nance-chastain |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487968608 PECOS PAC ID: 9931455854 Enrollment ID: I20180709000849 |
| Provider Name | Sarmad Said |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1912266511 PECOS PAC ID: 6709167174 Enrollment ID: I20180711000708 |
| Provider Name | Saba Halim Khalid |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1083666531 PECOS PAC ID: 4789932526 Enrollment ID: I20180809005880 |
| Provider Name | Dries M Van Dyk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1326492760 PECOS PAC ID: 2961763859 Enrollment ID: I20180813001179 |
| Provider Name | Joseph Ford |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1912261405 PECOS PAC ID: 1557662707 Enrollment ID: I20180813003128 |
| Provider Name | Alisha Renteria |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063933422 PECOS PAC ID: 5092064634 Enrollment ID: I20180815002462 |
| Provider Name | Omar Eduardo Mejia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679097729 PECOS PAC ID: 4183974835 Enrollment ID: I20180830001902 |
| Provider Name | Julieann Gonzales |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023594546 PECOS PAC ID: 8123378569 Enrollment ID: I20180906001228 |
| Provider Name | Carolyn E Gress |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366918179 PECOS PAC ID: 3678811890 Enrollment ID: I20190309000052 |
| Provider Name | Jamie A G Redondo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871078444 PECOS PAC ID: 6800136342 Enrollment ID: I20190320002747 |
| Provider Name | Denise Elaine Junio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972065076 PECOS PAC ID: 7012250590 Enrollment ID: I20190524001234 |
| Provider Name | Aurelio Enriquez |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891810438 PECOS PAC ID: 5799977963 Enrollment ID: I20190607002156 |
| Provider Name | April Dawn Matthews |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992267389 PECOS PAC ID: 9133453897 Enrollment ID: I20190628002622 |
| Provider Name | William Hsueh |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1972948164 PECOS PAC ID: 7214293869 Enrollment ID: I20190723003898 |
| Provider Name | Todd Alexander Quackenbush |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1194704122 PECOS PAC ID: 1456687771 Enrollment ID: I20190724003278 |
| Provider Name | Ajay K Ghai |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1346637576 PECOS PAC ID: 0648586503 Enrollment ID: I20190904002846 |
| Provider Name | Abbey Morren |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831749159 PECOS PAC ID: 9335571637 Enrollment ID: I20191106003156 |
| Provider Name | Kenneth Wetcher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487606547 PECOS PAC ID: 2668405853 Enrollment ID: I20200108001151 |
| Provider Name | Kristen Currie |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1538502679 PECOS PAC ID: 9436439817 Enrollment ID: I20200329000569 |
| Provider Name | Jason Duane Roos |
|---|---|
| Provider Type | Practitioner - Otolaryngology |
| Provider Identifiers | NPI Number: 1205147659 PECOS PAC ID: 2365608189 Enrollment ID: I20200507001336 |
| Provider Name | Edgar Albino Botello |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376164210 PECOS PAC ID: 8527499847 Enrollment ID: I20200520001646 |
| Provider Name | Caitlin M Renn |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1750678231 PECOS PAC ID: 0143541029 Enrollment ID: I20201110003020 |
| Provider Name | Christina M Patty |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1265963508 PECOS PAC ID: 0345652194 Enrollment ID: I20201218001996 |
| Provider Name | Kishore J. Thampy |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659367951 PECOS PAC ID: 0143268904 Enrollment ID: I20210223000684 |
| Provider Name | Jaimini Chauhan-james |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700152618 PECOS PAC ID: 8729388798 Enrollment ID: I20210608001431 |
| Provider Name | Kyle Ota |
|---|---|
| Provider Type | Practitioner - Colorectal Surgery (proctology) |
| Provider Identifiers | NPI Number: 1942682117 PECOS PAC ID: 5597167312 Enrollment ID: I20210715001611 |
| Provider Name | Marion Hsueh |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1417444563 PECOS PAC ID: 6901203470 Enrollment ID: I20210927000413 |
| Provider Name | Kirat Kaur Gill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831860576 PECOS PAC ID: 7315335502 Enrollment ID: I20211020001391 |
| Provider Name | Kayvon Matthew Sarrami |
|---|---|
| Provider Type | Practitioner - Sleep Medicine |
| Provider Identifiers | NPI Number: 1467942433 PECOS PAC ID: 5496144693 Enrollment ID: I20211109002664 |
| Provider Name | Wendy Patricia Almonte |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558031054 PECOS PAC ID: 1355732678 Enrollment ID: I20211221002576 |
| Provider Name | Sheena Edmonds |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093133506 PECOS PAC ID: 5698032506 Enrollment ID: I20220414002319 |
| Provider Name | Ramon Gustavo Galindo |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1295295384 PECOS PAC ID: 7517349194 Enrollment ID: I20220728002041 |
| Provider Name | Chonny Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912618562 PECOS PAC ID: 3173996162 Enrollment ID: I20230221003338 |
Gaylene J. Soloniuk-tays, M.d., A Professional Corporation 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 A Medical Corporation 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 | |
H. James Princeton, M.d. A Professional Corp 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 | |
H. James Princeton, M.d., A Professional Corporation 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 | |
Amari Medical Corp Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 400 W Mineral King Ave, Visalia, CA 93291 Phone: 559-624-2000 |