Individual provider Active NPI

Mary Beth Palomaki, M.D.

  • Pediatrics Physician
  • Tulare, CA
National Provider Identifier
1134449929
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A121747 Issued in CA
Practice address
1186 Leland Ave
Tulare, CA 93274-7811
Phone
(559) 686-9097
NPI assigned
Jun 3, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A121747 CA Primary

Addresses

Primary practice location

1186 Leland Ave
Tulare, CA 93274-7811

Mailing address

1186 Leland Ave
Tulare, CA 93274-7811
Phone (559) 686-9097

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120925000539 CA Practitioner - Pediatric Medicine 9032368642 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
121747CAMDMarriage & Family Therapist
A121747CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Altura Centers for Health CurrentSince Aug 15, 2012 Accepting new patients
Altura Centers for Health CurrentSince Aug 15, 2012 Accepting new patients
Altura Centers for Health Current Accepting new patients
Valley Children'S Medical Group Pediatrics CurrentSince Apr 1, 2017 Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients
Valley Children'S Hospital Past Accepting new patients

Locations

1524 McHenry Ave
Ste 550570
Modesto, CA 95350
Phone (209) 572-3880

1186 Leland Ave
Tulare, CA 93274
Phone (559) 686-9097

1203 N Cherry St
Tulare, CA 93274
Phone (559) 686-9097

1134 E Cartmill Ave
Tulare, CA 93274
Phone (559) 686-9097

1101 N Cherry St
Tulare, CA 93274
Phone (559) 686-9097

1500 W Tulare Dr
Tulare, CA 93274
Phone (559) 686-9097

1201 N Cherry St
Tulare, CA 93274
Phone (559) 685-4622

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mary.palomaki.p1@direct.altura.nextgenshare.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1134449929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 LELAND AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932747811",
            "telephone_number": "559-686-9097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 LELAND AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932747811",
            "telephone_number": "559-686-9097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALOMAKI",
        "first_name": "MARY",
        "middle_name": "BETH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A121747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulare, CA

Sources for this page

Verify at the official NPI Registry.