NPIMap

Organization Active NPI

Kaweah Delta Health Care District

Doing business as Kaweah Health Lindsay Clinic

  • Rural Health Clinic/Center
  • Lindsay, CA
National Provider Identifier
1104067636
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
KAWEAH DELTA HEALTH CARE DISTRICT
Doing business as
Kaweah Health Lindsay Clinic
Practice address
839 Sequoia Ave
Lindsay, CA 93247-1424
Phone
(559) 624-2000
Fax
(559) 713-2356
NPI assigned
Mar 12, 2009
Last updated
Apr 20, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
KAWEAH DELTA HEALTH CARE DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X CA Primary
Case Manager/Care Coordinator 171M00000X NU
Supports Brokerage Agency 251X00000X NU

Addresses

Primary practice location

839 Sequoia Ave
Lindsay, CA 93247-1424

Mailing address

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 624-2739

Other names 1

  • Kaweah Health Lindsay Clinic Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address providerenrollment@kdhcd.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090619000511 CA Part A Provider - Rural Health Clinic 6608778790 Practice locations: Lindsay, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1104067636. Details of each certification follow.

Rural health clinic certification: CCN 058649

Legal name
KAWEAH DELTA HEALTH CARE DISTRICT
Doing business as
KAWEAH HEALTH LINDSAY CLINIC
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Dec 3, 2009
Last certification
Feb 27, 2018
Ownership / control type
Non-profit – church related
Organization structure
OtherNon-profit
Enrollment address
839 Sequoia Ave
Lindsay, CA 93247-1424
Related CCNs
050057

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D1107042Kaweah Health Lindsay Clinic839 N Sequoia Ave, Lindsay, CA 93247Certificate of waiverOct 26, 2027

National Provider Directory

National Provider Directory
Tax ID family
Kaweah Delta Non Inv Ca27 organizations share this tax ID, including this one
Part of
Kaweah Delta Non Inv Ca

Other organizations with this tax ID 26

Organizations that report the same tax identification number in the National Provider Directory.

View all 26

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jagdev Batth Individual Corporate OfficerChief Operating Officer Mar 1, 2020
W-2 Managing EmployeeChief Operating Officer Mar 1, 2020
Dean Levitan Individual Corporate DirectorBoard Member/Zone 3 Feb 9, 2024
Anthony Olmos Individual Corporate DirectorBoard Member, Zone I Dec 4, 2020
Benjamin Cripps Individual Corporate OfficerChief Compliance & Risk Officer Feb 12, 2017
W-2 Managing EmployeeChief Compliance & Risk Officer Feb 12, 2017
Malinda Tupper Individual Corporate OfficerChief Financial Officer Feb 4, 2018
W-2 Managing EmployeeChief Financial Officer Apr 24, 2017
Armando Murrieta Individual Corporate DirectorBoard Member/Zone 5 Dec 4, 2024
Marc Mertz Individual Corporate OfficerChief Executive Officer Dec 22, 2025
W-2 Managing Employee Oct 1, 2018
Kaweah Delta Health Care District Organization, Visalia, CA Non-profit 5% Or Greater Direct Ownership Interest Jun 19, 2009
David Francis Individual Corporate DirectorBoard Member/ Zone 4 Mar 22, 2018
Jonna Schengel Individual Corporate DirectorBoard Member/Zone 2 Feb 17, 2026

Owners & managing parties with NPI records 17

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 17

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kaweah Health Medical CenterVisalia, CA, CCN 050057 Hospital Operational/Managerial Control Jul 1, 1967
Kaweah Health Rehabilitation HospitalVisalia, CA, CCN 05T057 Hospital 5% Or Greater Direct Ownership Interest Nov 26, 2007
Kaweah Health Mental Health HospitalVisalia, CA, CCN 05S057 Hospital 5% Or Greater Direct Ownership Interest Nov 26, 2007
Kaweah Health Skilled Nursing CenterVisalia, CA, CCN 555396 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Oct 24, 1989
Dec 16, 2024
Jan 7, 2025
Kaweah Health Home HealthVisalia, CA, CCN 057255 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
Kaweah Health HospiceVisalia, CA, CCN 051748 Hospice 5% Or Greater Direct Ownership Interest (100%) May 16, 2002
Kaweah Health Exeter ClinicExeter, CA, CCN 058508 Rural health clinic 5% Or Greater Direct Ownership Interest Jul 17, 2008
Kaweah Health Woodlake ClinicWoodlake, CA, CCN 058659 Rural health clinic Other Jan 12, 2012
Kaweah Health Dinuba ClinicDinuba, CA, CCN 058677 Rural health clinic Operational/Managerial Control Sep 1, 2014
Kaweah Health Tulare ClinicTulare, CA, CCN 058717 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2021
Kaweah Health Valencia ClinicWoodlake, CA, CCN 058734 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 19, 2025

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1236816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1104067636",
    "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": "559-624-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "839 SEQUOIA AVE",
            "city": "LINDSAY",
            "state": "CA",
            "postal_code": "932471424",
            "telephone_number": "559-624-2000",
            "fax_number": "559-713-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAWEAH DELTA HEALTH CARE DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAWEAH DELTA HEALTH CARE DISTRICT",
        "enumeration_date": "2009-03-12",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "TUPPER",
        "authorized_official_first_name": "MALINDA",
        "authorized_official_title_or_position": "SRVP/CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "559-624-4065"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "providerenrollment@kdhcd.org",
            "affiliation": "N",
            "address_1": "839 Sequoia Ave",
            "city": "Lindsay",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932471424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kaweah Health Lindsay Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lindsay, CA

Sources for this page

Verify at the official NPI Registry.