Individual provider Active NPI

Alex Attiku

  • Physician Assistant
  • Visalia, CA
National Provider Identifier
1003585928
Registry record updated Mar 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA62209 Issued in CA
Practice address
337 N Plaza Dr
Visalia, CA 93291-8227
Phone
(559) 366-7177
Fax
(866) 421-1361
NPI assigned
Sep 13, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA62209 CA Primary

Addresses

Primary practice location

337 N Plaza Dr
Visalia, CA 93291-8227

Mailing address

1700 S Court St Ste F
Visalia, CA 93277-4931
Phone (559) 734-9244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230404000438 CA Practitioner - Physician Assistant 9234504382 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mineral King Radiological Medical Group IncGroup PAC ID 2163321720, 18 clinicians
Kaweah Delta Health Care DistrictGroup PAC ID 6608778790, 110 clinicians

Practice addresses (Care Compare)

337 N Plaza Dr
Visalia, CA 93291-8227
Phone (559) 366-7177

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 624-2000

840 S Akers St
Visalia, CA 93277-8309
Phone (559) 624-3741

Hospital & facility affiliations

  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as group
Quality
100
Improvement activities
40
Cost
64.31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA62209CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kaweah Delta Health Care District CurrentSince Jan 7, 2026 Accepting new patients
Kaweah Delta Health Care District CurrentSince Jan 7, 2026 Accepting new patients

Locations

840 S Akers St
Visalia, CA 93277
Phone (559) 624-3700

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

1700 S Court St
Ste F
Visalia, CA 93277
Phone (559) 734-9244

1700 S Court St
Ste A
Visalia, CA 93277
Phone (559) 734-5674

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774310400000",
    "number": "1003585928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S COURT ST STE F",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774931",
            "telephone_number": "559-734-9244",
            "fax_number": "559-734-6932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 N PLAZA DR",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932918227",
            "telephone_number": "559-366-7177",
            "fax_number": "866-421-1361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATTIKU",
        "first_name": "ALEX",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-13",
        "last_updated": "2026-03-24",
        "certification_date": "2026-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA62209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.