Individual provider Active NPI

Amalia Coronado

  • Family Nurse Practitioner
  • Visalia, CA
National Provider Identifier
1245899541
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95011833 Issued in CA
Practice address
118 N Akers St
Visalia, CA 93291-5121
Phone
(559) 627-6282
NPI assigned
Jun 10, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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 95011833 CA Primary

Addresses

Primary practice location

118 N Akers St
Visalia, CA 93291-5121

Mailing address

118 N Akers St
Visalia, CA 93291-5121
Phone (559) 627-6282

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
I20220915001996 CA Practitioner - Nurse Practitioner 0840675591 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95011833CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sequoia Institute for Surgical Services Inc CurrentSince Jul 18, 2022 Accepting new patients
Adolph J. Nava M.D., Inc PastSince Jul 1, 2010 Accepting new patients
Sequoia Institute for Surgical Services, LLC Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients

Locations

460 W Putnam Ave
Porterville, CA 93257
Phone (559) 731-2009

936 G St
#B
Reedley, CA 93654
Phone (559) 391-3760

2300 W Sunnyside Ave
Visalia, CA 93277
Phone (559) 731-2009

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIEHAA

Organizations & group practices 4

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": "1560124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560124800000",
    "number": "1245899541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 N AKERS ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915121",
            "telephone_number": "559-627-6282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 N AKERS ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915121",
            "telephone_number": "559-627-6282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORONADO",
        "first_name": "AMALIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.