NPIMap

Organization Active NPI

Kaweah Delta Health Care District

  • Oncology Clinic/Center
  • Visalia, CA
National Provider Identifier
1003672460
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oncology Clinic/CenterTaxonomy code 261QX0200X
Legal business name
KAWEAH DELTA HEALTH CARE DISTRICT
Practice address
4945 W Cypress Ave
Visalia, CA 93277-1592
Phone
(559) 624-3000
Fax
(559) 635-4747
NPI assigned
Feb 23, 2024
Organization subpart
Yes
Parent organization
KAWEAH DELTA HEALTH CARE DISTRICTAs reported in NPPES

Other NPIs on the same Medicare enrollment 15

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 15

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110914000795 CA Part B Supplier - Clinic/Group Practice 6608778790 Receives reassigned benefits from 204 practitioners
15 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Visalia, CA; Los Angeles, CA; Bakersfield, CA; Hanford, CA; Irvine, CA; Long Beach, CA; Tulare, CA; Santa Barbara, CA

National Provider Directory

National Provider Directory
Part of
Kaweah Delta District H

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Authorized official

Name
Malinda Tupper
Title
Chief Financial Officer
Phone
(559) 624-4065

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oncology Clinic/Center 261QX0200X Primary

Addresses

Primary practice location

4945 W Cypress Ave
Visalia, CA 93277-1592

Mailing address

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 624-2105

Other names 1

  • Sequoia Regional Cancer Center Medical Oncology - Visalia Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 23, 2024.

{
    "created_epoch": "1708646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1003672460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MINERAL KING AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916237",
            "telephone_number": "559-624-2105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4945 W CYPRESS AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932771592",
            "telephone_number": "559-624-3000",
            "fax_number": "559-635-4747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAWEAH DELTA HEALTH CARE DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAWEAH DELTA HEALTH CARE DISTRICT",
        "enumeration_date": "2024-02-23",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "TUPPER",
        "authorized_official_first_name": "MALINDA",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "559-624-4065"
    },
    "taxonomies": [
        {
            "code": "261QX0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sequoia Regional Cancer Center Medical Oncology - Visalia",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sequoia Regional Cancer Center Medical Oncology - Visalia",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.