Active NPI
David S Hewitt, MD
- Cytopathology Physician
- Visalia, CA
National Provider Identifier
1124018148
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cytopathology Physician
- License
- A48679
- Practice address
- 316 S Dunworth St
Visalia, CA 93292-6702 - Phone
- (550) 625-0601
- Fax
- (559) 625-1315
- NPI assigned
- Oct 21, 2005
- 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 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cytopathology Physician | 207ZC0500X | A48679 | CA | Primary |
| Forensic Pathology Physician | 207ZF0201X | A48679 | CA | |
| Hematology (Pathology) Physician | 207ZH0000X | A48679 | CA | |
| Immunopathology Physician | 207ZI0100X | A48679 | CA | |
| Neuropathology Physician | 207ZN0500X | A48679 | CA | |
| Anatomic Pathology Physician | 207ZP0101X | A48679 | CA | |
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | A48679 | CA | |
| Pediatric Pathology Physician | 207ZP0213X | A48679 | CA | |
| Dermatopathology (Pathology) Physician | 207ZD0900X | A48679 | CA |
Addresses
Primary practice location
316 S Dunworth St
Visalia, CA 93292-6702
Mailing address
316 S Dunworth St
Visalia, CA 93292-6702
Phone (550) 625-0601
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A486790 | Medicaid | CA | |
| CC9653 | Other | CA | RAILROAD MEDICARE GRP NUM |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A48679 | CA | MD | Pediatric Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kaweah Delta Health Care District | Past | Accepting new patients |
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.
-
- General Acute Care Hospital
- Visalia, CA
- NPI 1588663769
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1124018148",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 S DUNWORTH ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932926702",
"telephone_number": "550-625-0601",
"fax_number": "559-625-1315"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 S DUNWORTH ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932926702",
"telephone_number": "550-625-0601",
"fax_number": "559-625-1315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEWITT",
"first_name": "DAVID",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-21",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207ZC0500X",
"taxonomy_group": "",
"desc": "Pathology, Cytopathology",
"state": "CA",
"license": "A48679",
"primary": true
},
{
"code": "207ZF0201X",
"taxonomy_group": "",
"desc": "Pathology, Forensic Pathology",
"state": "CA",
"license": "A48679",
"primary": false
},
{
"code": "207ZH0000X",
"taxonomy_group": "",
"desc": "Pathology, Hematology",
"state": "CA",
"license": "A48679",
"primary": false
},
{
"code": "207ZI0100X",
"taxonomy_group": "",
"desc": "Pathology, Immunopathology",
"state": "CA",
"license": "A48679",
"primary": false
},
{
"code": "207ZN0500X",
"taxonomy_group": "",
"desc": "Pathology, Neuropathology",
"state": "CA",
"license": "A48679",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "CA",
"license": "A48679",
"primary": false
},
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "CA",
"license": "A48679",
"primary": false
},
{
"code": "207ZP0213X",
"taxonomy_group": "",
"desc": "Pathology, Pediatric Pathology",
"state": "CA",
"license": "A48679",
"primary": false
},
{
"code": "207ZD0900X",
"taxonomy_group": "",
"desc": "Pathology, Dermatopathology",
"state": "CA",
"license": "A48679",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A486790",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GRP NUM",
"identifier": "CC9653",
"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 Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.