KAWEAH DELTA HEALTH CARE DISTRICT (NPI# 1588663769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588663769 |
| Entity Type | Organization |
| Organization Name | KAWEAH DELTA HEALTH CARE DISTRICT |
| Other Organization Name | KAWEAH DELTA MEDICAL CENTER |
| Practice Address |
400 W Mineral King Ave Visalia CA 93291-6237 |
| Practice Telephone | 5596242000 |
| Practice Fax Number | 5597132356 |
| Mailing Telephone | 5596242739 |
| Mailing Fax Number | 5597132239 |
| Enumeration Date | 2005-07-19 |
| Last Update Date | 2020-10-14 |
| Authorized Official Name | MALINDA TUPPER (SRVP/CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 5596244065 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 120000580 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | ZZT30057F | 05 | |
| CA | ZZT40057F | 05 | |
| CA | BLUE SHIELD | ZZZC5407Z | 01 |
| CA | PHE399100 | 05 |
| Other Name | Type Code |
|---|---|
| Kaweah Delta Medical Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174130942 | Kaweah Delta Health Care District | Clinic/Center | 1000 N Mooney Blvd, Tulare, CA 93274-2417 | 2020-09-25 |
| 1568975290 | Kaweah Delta Health Care District | Clinic/Center | 3600 Flagstaff Avenue, Visalia, CA 93291 | 2017-11-16 |
| 1578081915 | Kaweah Delta Health Care District | Neurological Surgery | 202 W Willow Ave Ste 202, Visalia, CA 93291-6238 | 2017-09-06 |
| 1659735132 | Kaweah Delta Health Care District | Pharmacy | 202 W Willow Ave Ste 102, Visalia, CA 93291-6238 | 2016-04-11 |
| 1740688894 | Kaweah Delta Health Care District | Clinic/Center | 202 W Willow Ave Ste 502, Visalia, CA 93291-6238 | 2014-12-05 |
| 1528476306 | Kaweah Delta Health Care District | Clinic/Center | 820 S. Akers Rd, Suite 100, Visalia, CA 93277-8309 | 2014-07-24 |
| 1841607801 | Kaweah Delta Health Care District | Clinic/Center | 355 Monte Vista Dr, Dinuba, CA 93618 | 2014-07-22 |
| 1881984706 | Kaweah Delta Health Care District | Clinic/Center | 1110 S Ben Maddox Way, Visalia, CA 93292-3643 | 2011-04-12 |
| 1104067636 | Kaweah Delta Health Care District | Clinic/Center | 839 Sequoia Ave, Lindsay, CA 93247-1424 | 2009-03-12 |
| 1891718649 | Kaweah Delta Health Care District | Hospice Care, Community Based | 900 W Oak Ave, Visalia, CA 93291-4716 | 2006-07-25 |
| Street Address |
400 W MINERAL KING AVE |
| City | VISALIA |
| State | CA |
| Zip Code | 93291-6237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831703602 | Elizabeth Emily Swanson | Nurse Anesthetist, Certified Registered | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-08-31 |
| 1619589512 | Oak Creek Anesthesia Services, Inc. | Anesthesiology | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-08-21 |
| 1265044283 | Leanne Frances Sapad-trevino | Dietitian, Registered | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-08-20 |
| 1760093611 | Melanie Anne Logue | Dietitian, Registered | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-08-13 |
| 1396354510 | Christian Panaligan | Nurse Anesthetist, Certified Registered | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-07-23 |
| 1043828130 | Mary Jane Tran | Pharmacist | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-07-15 |
| 1073138608 | Amari Medical Corp | Family Medicine | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-06-09 |
| 1437772423 | Kyle Webster | Physician Assistant | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-05-25 |
| 1285255505 | Stacey Smith | Nurse Practitioner | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-04-27 |
| 1023637212 | Jaclyn N Lundberg | Student in an Organized Health Care Education/Training Program | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255964854 | Stephanie Janae Ybarra | Orthotist | 5412 Avenida De Los Robles, Suite 101, Visalia, CA 93291 | 2020-02-21 |
| 1689223067 | Patricia Mari Marquez | Technician | 32481 Road 127, Visalia, CA 93291 | 2019-09-09 |
| 1942767710 | Jeremy Clifton Mccallister | Counselor | 120 W. School Ave., Visalia, CA 93291 | 2019-02-27 |
| 1568975290 | Kaweah Delta Health Care District | Clinic/Center | 3600 Flagstaff Avenue, Visalia, CA 93291 | 2017-11-16 |
| 1932625308 | Christina Gonzalez | Counselor | New Hope, 212 N. Stevenson, Visalia, CA 93291 | 2017-08-17 |
| 1629598545 | Estherose Molina | Assistant Behavior Analyst | 5445 W. Sweet Drive, Visalia, CA 93291 | 2017-06-21 |
| 1487195988 | Brenda Rodriguez | Case Manager/Care Coordinator | 546 East Tulare Ave, Visalia, CA 93291 | 2017-03-16 |
| 1295181857 | David James Tsuneji Fujihara | Emergency Medicine | 400 W. Mineral King Ave, Visalia, CA 93291 | 2016-05-12 |
| 1326409343 | Bay Area Surgical Specialists, Inc A Medical Corporation | Pain Medicine | 5127 W Noble Ave, Visalia, CA 93291 | 2016-03-18 |
| 1932585700 | Charles Dominick Trentacosti | Occupational Therapy Assistant | 514 N Bridge St, Visalia, CA 93291 | 2015-08-04 |
| Find all providers in zip 93291 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114957206 | David Howard Cohn | General Acute Care Hospital | 816 W Acequia Ave, Visalia, CA 93291-6126 | 2006-07-04 |
| 1194252916 | Nathan Robert Elledge | General Acute Care Hospital | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2017-05-11 |
| 1164809083 | Incare Md Inc. | General Acute Care Hospital | 4046 S Demaree St, Visalia, CA 93277-9476 | 2015-04-29 |
| 1528233749 | Kaweah Delta Health Care District | General Acute Care Hospital | 400 W Mineral King Ave, Visalia, CA 93291-6237 | 2008-04-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437763224 | Mola Medical Practice Inc | General Acute Care Hospital | 6906 Treasure Trl, Los Angeles, CA 90068-1838 | 2020-08-31 |
| 1497376966 | Barton Ambulatory Clinics | General Acute Care Hospital | 2170 South Ave Ste B, South Lake Tahoe, CA 96150-7026 | 2020-05-06 |
| 1346723194 | Eisenhower Medical Center | General Acute Care Hospital | 1401 North Palm Canyon Drive, Suite #202, Palm Springs, CA 92262 | 2018-09-07 |
| 1699282285 | Kern County Hospital Authority | General Acute Care Hospital | 6001 Truxtun Ave Ste 210, Bakersfield, CA 93309-0662 | 2018-01-04 |
| 1598272577 | Eisenhower Medical Center | General Acute Care Hospital | 74020 Alessandro Drive, Suite B, Palm Desert, CA 92260 | 2017-12-29 |
| 1720597511 | Children's Recovery Center 1, LLC | General Acute Care Hospital | 3777 S Bascom Ave, Campbell, CA 95008-7320 | 2017-09-25 |
| 1336668284 | Kern County Hospital Authority | General Acute Care Hospital | 2920 F St Ste B1, Bakersfield, CA 93301-1829 | 2017-09-12 |
| 1821524315 | Azadeh Salek | General Acute Care Hospital | 308 Paseo De La Playa Apt 4, Redondo Beach, CA 90277-6251 | 2017-05-03 |
| 1790210359 | Va Hospital Mather | General Acute Care Hospital | 3131 Sparrow Dr, Sacramento, CA 95834-2639 | 2017-04-20 |
| 1881127041 | Chad William Downing | General Acute Care Hospital | 28003 Via Del Agua, Laguna Niguel, CA 92677-7359 | 2017-04-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.