RENAL MEDICAL GROUP NPI 1669503967

NPI Information

  • NPI: 1669503967
  • Provider Name: RENAL MEDICAL GROUP
  • Classification: Clinic/Center - 261QM2500X
  • Specialization: Medical Specialty
  • Entity Type: Organization
  • Address: 515 S LOCUST ST
    VISALIA, CA
    ZIP 93277
  • Phone: (559) 625-4630

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NPI Details

RENAL MEDICAL GROUP is a medical specialty clinic center in Visalia, CA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). RENAL MEDICAL GROUP NPI is 1669503967. The provider is registered as an organization entity type.

The provider's business location address is:

515 S LOCUST ST
VISALIA, CA
ZIP 93277-616
Phone: (559) 625-4630
Fax: (559) 625-4699

The provider's authorized official is Roger J Haley .
The authorized official title is Partner and has the following contact phone number (559) 625-4630.

The enumeration date for this NPI number is 3/8/2007 and was last updated on 12/5/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11013078393MEDICARE UPINCALIFORNIA
2ZZZ23004ZMEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
3=========MEDICAIDCALIFORNIA

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: 11/21/2025

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