Individual provider Active NPI

Sergio Da Silva Caminha, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Visalia, CA
National Provider Identifier
1104891951
Registry record updated Sep 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
C50172 Issued in CA
Practice address
202 W Willow Ave
Suite 405
Visalia, CA 93291-6238
Phone
(559) 622-8500
Fax
(559) 622-9410
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X C50172 CA Primary

Addresses

Primary practice location

202 W Willow Ave
Suite 405
Visalia, CA 93291-6238

Mailing address

202 W Willow Ave
Suite 405
Visalia, CA 93291-6238
Phone (559) 622-8500

Other identifiers 2

IdentifierTypeStateIssuer
1794429OtherECFMG
C50172OtherCACA LINCENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C50172CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mineral King Surgical Associates, Inc. Past Accepting new patients
Starr-Wood Cardiac Group of Visalia Medical Corporation, PC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315094400000",
    "number": "1104891951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W WILLOW AVE",
            "address_2": "SUITE 405",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916238",
            "telephone_number": "559-622-8500",
            "fax_number": "559-622-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W WILLOW AVE",
            "address_2": "SUITE 405",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916238",
            "telephone_number": "559-622-8500",
            "fax_number": "559-622-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMINHA",
        "first_name": "SERGIO",
        "middle_name": "DA SILVA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2011-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "C50172",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "1794429",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LINCENSE",
            "identifier": "C50172",
            "state": "CA"
        }
    ],
    "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 Sep 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.