Individual provider Active NPI

Katia Margarita Collazo, NP

  • Family Nurse Practitioner
  • Visalia, CA
National Provider Identifier
1205518438
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95026305 Issued in CA
Practice address
503 S Watson St
Visalia, CA 93277-2641
Phone
(559) 623-9636
NPI assigned
Aug 7, 2023
Last updated
May 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2025

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 95026305 CA Primary

Addresses

Primary practice location

503 S Watson St
Visalia, CA 93277-2641

Mailing address

503 S Watson St
Visalia, CA 93277-2641
Phone (559) 623-9636

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
I20231009002702 CA Practitioner - Nurse Practitioner 4284089434 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tom Yang MD Inc CurrentSince Oct 1, 2023 Accepting new patients
Yuwen Lee, O.D., Optometric Professional Corporation CurrentSince Aug 13, 2023 Accepting new patients

Locations

255 W Herndon Ave
Ste 103
Clovis, CA 93612
Phone (559) 326-2999

1025 N Douty St
Ste A
Hanford, CA 93230
Phone (559) 584-7664

1105 N Douty St
Ste A
Hanford, CA 93230
Phone (559) 585-8755

1489 W Lacey Blvd
Ste 104
Hanford, CA 93230
Phone (559) 623-9636

503 S Watson St
Visalia, CA 93277
Phone (559) 623-9636

Interoperability endpoints

  • Direct secure messaging: kcaldwell35140@direct.davitaphysiciansolutions.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1205518438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 S WATSON ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772641",
            "telephone_number": "559-623-9636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 S WATSON ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772641",
            "telephone_number": "559-623-9636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO",
        "first_name": "KATIA",
        "middle_name": "MARGARITA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-07",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95026305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.