Elisabeth a. Bossingham, M.D., Inc

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G69388 Issued in CA

Legal business name

ELISABETH A. BOSSINGHAM, M.D., INC

Doing business as

Visalia Pediatrics & Associates, Inc.

Practice address

1827 S Court St
Suite F
Visalia, CA 93277-5469

Phone

(559) 622-0800

Fax

(559) 622-0801

NPI assigned

Jul 17, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Elisabeth A. Bossingham, M.D.NPI 1740286749

Title

President

Phone

(559) 622-0800

Specialties & licenses 1

Addresses

Other names 1

• Visalia Pediatrics & Associates, Inc. Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Elisabeth A Bossingham, M.D.

  • Pediatrics Physician
  • Visalia, CA
  • NPI 1740286749
  NPD (past) Authorized official

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1255358800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1827 S COURT ST",
            "address_2": "SUITE F",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932775469",
            "telephone_number": "559-622-0800",
            "fax_number": "559-622-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1827 S COURT ST",
            "address_2": "SUITE F",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932775469",
            "telephone_number": "559-622-0800",
            "fax_number": "559-622-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELISABETH A. BOSSINGHAM, M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-17",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "BOSSINGHAM",
        "authorized_official_first_name": "ELISABETH",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-622-0800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G69388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Visalia Pediatrics & Associates, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jack Miller Eivins, D.C.
• Marisa J Eivins
• El Cerro Primary Care
• Gavin Stephen Elder, DO
• Kevin Allen Eldridge, COTA
• Elite Corporate Medical Services Inc.
• Ezekiel Elizalde
• Jasmine Elizondo
• Ellie J. Zuiderveld (The Children's Dental Surgery Center)
• Elisabeth Elliott, PA-C

• Pediatrics Physician in Visalia, CA
• Providers in Visalia, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.