Individual provider Active NPI

Oscar E Rios Jr., PA

  • Physician Assistant
  • Visalia, CA
National Provider Identifier
1114742947
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA65963 Issued in CA
Practice address
1633 S Court St
Visalia, CA 93277-4945
Phone
(559) 624-6090
NPI assigned
Nov 18, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA65963 CA Primary

Addresses

Primary practice location

1633 S Court St
Visalia, CA 93277-4945

Mailing address

1633 S Court St
Visalia, CA 93277-4945

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250515002927 CA Practitioner - Physician Assistant 3173041910 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America - CaliforniaGroup PAC ID 6103739131, 1,278 clinicians

Practice addresses (Care Compare)

869 N Cherry St
Tulare, CA 93274-2207
Phone (559) 688-0821

Hospital & facility affiliations

  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA65963CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kaweah Delta Health Care District CurrentSince May 1, 2025 Accepting new patients
Kaweah Delta Health Care District CurrentSince May 1, 2025 Accepting new patients
Kaweah Delta Health Care District CurrentSince May 1, 2025 Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients

Locations

840 S Akers St
Visalia, CA 93277
Phone (559) 624-3700

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

1110 S Ben Maddox Way
#B
Visalia, CA 93292
Phone (559) 624-4800

1633 S Court St
Visalia, CA 93277
Phone (559) 624-6090

3600 W Flagstaff Ave
Visalia, CA 93291
Phone (559) 624-6090

Organizations & group practices 7

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 1

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": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1114742947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1633 S COURT ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1633 S COURT ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774945",
            "telephone_number": "559-624-6090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIOS",
        "first_name": "OSCAR",
        "middle_name": "E",
        "name_suffix": "Jr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-18",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA65963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.