Kaweah Orthopedic & Prosthetics Inc,.

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

BL011033 Issued in CA

Legal business name

KAWEAH ORTHOPEDIC & PROSTHETICS INC,.

Practice address

2318 W Sunnyside Ave Ste 7
Visalia, CA 93277-7266

Phone

(559) 741-1300

Fax

(559) 741-1819

NPI assigned

Jul 23, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Debbi Marie Bencomo, CO

Title

Ceo

Phone

(559) 741-1300

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245110400000",
    "number": "1114948080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 390",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932790390",
            "telephone_number": "559-741-1300",
            "fax_number": "559-741-1819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2318 W SUNNYSIDE AVE STE 7",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932777266",
            "telephone_number": "559-741-1300",
            "fax_number": "559-741-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAWEAH ORTHOPEDIC & PROSTHETICS INC,.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-23",
        "last_updated": "2009-06-16",
        "status": "A",
        "authorized_official_last_name": "BENCOMO",
        "authorized_official_first_name": "DEBBI",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-741-1300",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "CA",
            "license": "BL011033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XA0141710",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kaweah Delta Health Care Inc
• Kaweah Delta Health Care Inc
• Kaweah Dental Inc
• Kaweah Manor, Inc.
• Kaweah Neurological Surgery Associates
• Kaweah Rehab Group Inc
• Robert N. Kay, CADC-I
• KC Martin Nursing Anesthesia Inc
• Jill Keefer, DC, CMT
• Lori Christine Keen, CAS 1

• Prosthetic/Orthotic Supplier in Visalia, CA
• Providers in Visalia, CA by specialty
• Prosthetic/Orthotic Supplier in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2009; 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.