Active NPI
Catherine A McNinch, M.D.
- Pediatrics Physician
- Visalia, CA
National Provider Identifier
1104823756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G40836
- Practice address
- 5400 W Hillsdale Ave
Visalia, CA 93291-8222 - Phone
- (559) 738-7500
- Fax
- (559) 738-7650
- NPI assigned
- Jun 28, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G40836 | CA | Primary |
Addresses
Primary practice location
5400 W Hillsdale Ave
Visalia, CA 93291-8222
Mailing address
5400 W Hillsdale Ave
Visalia, CA 93291-8222
Phone (559) 738-7500
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060919000282 | CA | Practitioner - Pediatric Medicine | 0244235695 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G40836 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaweah Delta Health Care Inc | Current | Accepting new patients |
Locations
400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001
5400 W Hillsdale Ave
Visalia, CA 93291
Phone (553) 733-5222
Organizations & group practices 1
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.
-
- General Practice Physician
- Visalia, CA
- NPI 1619353042
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475452800000",
"number": "1104823756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5400 W HILLSDALE AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932918222",
"telephone_number": "559-738-7500",
"fax_number": "559-738-7650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5400 W HILLSDALE AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932918222",
"telephone_number": "559-738-7500",
"fax_number": "559-738-7650"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNINCH",
"first_name": "CATHERINE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-28",
"last_updated": "2016-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G40836",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Oct 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.