Active NPI
Shawn Frank Cardoza, N.P
- Family Nurse Practitioner
- Visalia, CA
National Provider Identifier
1104937002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- NP16454
- Practice address
- 3130 W Caldwell Ave.
Visalia, CA 93277 - Phone
- (559) 635-7800
- Fax
- (559) 635-7805
- NPI assigned
- Aug 31, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NP16454 | CA | Primary |
Addresses
Primary practice location
3130 W Caldwell Ave.
Visalia, CA 93277
Mailing address
PO Box 7475
Visalia, CA 93290
Phone (559) 635-7800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| BR629Z | Other | CA | MEDICARE PTAN |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061106000591 | CA | Practitioner - Nurse Practitioner | 6901803832 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Advanced Care Medical Group Inc
Practice addresses (Care Compare)
3130 W Caldwell Ave
Visalia, CA 93277-7063
Phone (559) 635-7800
Hospital & facility affiliations
- Therapeutic Home Healthcare
- Kaweah Health Home Health
- California Home Health
- Kure Home Health
- Seva Home Health
- Kaweah Health Medical Center
- Adventist Health Tulare
Merit-based Incentive Payment System (MIPS)
- Final score
- 45.17 of 100
- Quality
- 55.01
- Improvement activities
- 0
- Cost
- 77.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP16454 | CA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Care Medical Group Inc | Current | Accepting new patients |
Locations
3130 W Caldwell Ave
Visalia, CA 93277
Phone (559) 635-7800
Interoperability endpoints
- shawn.cardoza@410916565811204.direct.elationemr.com
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.
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fresno, CA
- NPI 1629437520
-
- Home Health Agency
- Fresno, CA
- NPI 1750685822
-
- Home Health Agency
- Visalia, CA
- NPI 1790746378
-
- Home Health Agency
- Clovis, CA
- NPI 1063979417
-
- Home Health Agency
- Porterville, CA
- NPI 1831706548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750550400000",
"number": "1104937002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7475",
"city": "VISALIA",
"state": "CA",
"postal_code": "93290",
"telephone_number": "559-635-7800",
"fax_number": "559-635-7805"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3130 W CALDWELL AVE.",
"city": "VISALIA",
"state": "CA",
"postal_code": "93277",
"telephone_number": "559-635-7800",
"fax_number": "559-635-7805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARDOZA",
"first_name": "SHAWN",
"middle_name": "FRANK",
"credential": "N.P",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2025-06-22",
"certification_date": "2025-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "NP16454",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "BR629Z",
"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 Jun 22, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.