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KAWEAH DELTA HEALTH CARE INC NPI 1619353042


NPI Information

NPI: 1619353042
Provider Name: KAWEAH DELTA HEALTH CARE INC

Doing Business As: KAWEAH HEALTH MEDICAL GROUP

Classification: General Practice - 208D00000X
Entity Type: Organization

CLIA Number: 05D1043050

Address:
5400 W HILLSDALE AVE
VISALIA, CA
ZIP 93291
Phone: (559) 738-7500
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KAWEAH DELTA HEALTH CARE INC is a general practice in Visalia, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee KAWEAH DELTA HEALTH CARE INC NPI is 1619353042. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kaweah Health Medical Group.

The provider's business location address is:

5400 W HILLSDALE AVE
VISALIA, CA
ZIP 93291-222
Phone: (559) 738-7500

The provider's authorized official is Paul Schofield .
The authorized official title is Ceo and has the following contact phone number (559) 738-7500.

The CLIA number assigned to this NPI record is 05D1043050 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/7/2015 and was last updated on 4/13/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CA171873OTHERCALIFORNIAMEDICARE PTAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.