Individual provider Active NPI

Frederick Karlo Tirona Sordilla, FNP-C

  • Family Nurse Practitioner
  • Visalia, CA
National Provider Identifier
1184314858
Registry record updated May 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024699 Issued in CA
Practice address
231 W Noble Ave
Visalia, CA 93277-2631
Phone
(559) 635-7100
Fax
(559) 635-7104
NPI assigned
May 8, 2023
Last updated
May 8, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 8, 2023

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 95024699 CA Primary

Addresses

Primary practice location

231 W Noble Ave
Visalia, CA 93277-2631

Mailing address

3180 Holly CT
Hanford, CA 93230-7402
Phone (559) 380-6498

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
I20230710000889 CA Practitioner - Nurse Practitioner 8123487121 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

125 Mall Dr
Hanford, CA 93230-5794

1524 W Lacey Blvd
Suite 101
Hanford, CA 93230-5990
Phone (559) 583-4695

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shyam Bhaskar, M.D. Inc CurrentSince Jun 1, 2023 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Adventist Health Physicians Network CurrentSince Dec 9, 2024 Accepting new patients
Adventist Health Physicians Network CurrentSince Dec 9, 2024 Accepting new patients
Shyam Bhaskar MD Inc Current Accepting new patients
Shyam Bhaskar, M.D. Inc CurrentSince Jun 1, 2023 Accepting new patients
Adventist Health Physicians Network Past Accepting new patients

Locations

1001 Van Dorsten Ave
Corcoran, CA 93212
Phone (559) 992-2337

1107 N Douty St
Hanford, CA 93230
Phone (559) 582-0347

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

231 W Noble Ave
Visalia, CA 93277
Phone (559) 635-7100

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1683504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683504000000",
    "number": "1184314858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3180 HOLLY CT",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932307402",
            "telephone_number": "559-380-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W NOBLE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772631",
            "telephone_number": "559-635-7100",
            "fax_number": "559-635-7104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORDILLA",
        "first_name": "FREDERICK KARLO",
        "middle_name": "TIRONA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.