NPIMap

Individual provider Active NPI

Shawn Frank Cardoza, N.P

  • Family Nurse Practitioner
  • Visalia, CA
National Provider Identifier
1104937002
Registry record updated Jun 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP16454 Issued in CA
Practice address
3130 W Caldwell Ave.
Visalia, CA 93277
Phone
(559) 635-7800
Fax
(559) 635-7805
NPI assigned
Aug 31, 2006
Last updated
Jun 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 9133438781, 5 clinicians

Practice addresses (Care Compare)

3130 W Caldwell Ave
Visalia, CA 93277-7063
Phone (559) 635-7800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
45.17 of 100Reported as individual
Quality
55.01
Improvement activities
0
Cost
77.22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
16454CAMDClinical Social Worker
NP16454CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Care Medical Group Inc CurrentSince Oct 1, 2015 Accepting new patients

Locations

3130 W Caldwell Ave
Visalia, CA 93277
Phone (559) 635-7800

Interoperability endpoints

  • Direct secure messaging: 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.