| Visalia Family Practice Medical Group | |
|
107 N Hall St Ste D Visalia CA 93291-5850 | |
| (559) 625-9200 | |
| (559) 625-0665 |
| Full Name | Visalia Family Practice Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 107 N Hall St Ste D, Visalia, California |
| Authorized Official Name and Position | Breana Bergdorf (ADMINISTRATOR) |
| Authorized Official Contact | 5596259200 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Visalia Family Practice Medical Group 107 N Hall St Ste D Visalia CA 93291-5850 Ph: (559) 625-9200 | Visalia Family Practice Medical Group 107 N Hall St Ste D Visalia CA 93291-5850 Ph: (559) 625-9200 |
| NPI Number | 1073681730 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 01/05/2023 |
| Medicare PECOS PAC ID | 9830139179 |
|---|---|
| Medicare Enrollment ID | O20050505001220 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073681730 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Elizabeth M Sasaki |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1801829411 PECOS PAC ID: 3678465457 Enrollment ID: I20040326000544 |
| Provider Name | Paul J Schommer |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730163064 PECOS PAC ID: 6709890486 Enrollment ID: I20080502000172 |
| Provider Name | John C Booker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790769768 PECOS PAC ID: 3971517657 Enrollment ID: I20080505000700 |
| Provider Name | Thomas E Daglish |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1982688206 PECOS PAC ID: 4981618667 Enrollment ID: I20080512000756 |
| Provider Name | Mark V Tetz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1891779138 PECOS PAC ID: 1254345937 Enrollment ID: I20080513000239 |
| Provider Name | Edgar H Clark |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1003847872 PECOS PAC ID: 8628159829 Enrollment ID: I20080516000693 |
| Provider Name | Christopher J Rodarte |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053383091 PECOS PAC ID: 3678644507 Enrollment ID: I20080723000746 |
| Provider Name | Laurie Hagopian-dresser |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1578513610 PECOS PAC ID: 9638201833 Enrollment ID: I20100723000748 |
| Provider Name | Maria Yepiz-wang |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174927214 PECOS PAC ID: 4587961438 Enrollment ID: I20160321002177 |
| Provider Name | Monica M Joosten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750916094 PECOS PAC ID: 6709215296 Enrollment ID: I20200403002993 |
| Provider Name | Violetta Suleymanova |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1215469226 PECOS PAC ID: 3971923046 Enrollment ID: I20201012002785 |
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 |