Active NPI
Fresno Vamc
- VA Clinic/Center
- Visalia, CA
National Provider Identifier
1265472658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- VA Clinic/Center
- Legal business name
- FRESNO VAMC
- Practice address
- 500 N Santa Fe St
Visalia, CA 93292-5065 - Phone
- (702) 341-3020
- Fax
- (702) 341-3503
- NPI assigned
- Jun 7, 2006
- Last updated
- May 1, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Erin Potter
- Title
- Npi Team
- Phone
- (202) 382-2579
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| VA Clinic/Center | 261QV0200X | Primary |
Addresses
Primary practice location
500 N Santa Fe St
Visalia, CA 93292-5065
Mailing address
PO Box 94410
Cleveland, OH 44101-4410
Phone (702) 341-3020
Other names 1
- Visalia VA Clinic
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D1058650 | Visalia VA Clinic | Accreditation | May 22, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Fresno Vamc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- VA Clinic/Center
- Oakhurst, CA
- NPI 1235431552
-
- Department of Veterans Affairs (VA) Pharmacy
- Fresno, CA
- NPI 1366400244
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1508815291
-
- VA Clinic/Center
- Merced, CA
- NPI 1619928306
Locations
1050 N Cherry St
Tulare, CA 93274
Phone (559) 684-8703
500 N Santa Fe St
Visalia, CA 93292
Phone (559) 684-8703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714521600000",
"number": "1265472658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 94410",
"city": "CLEVELAND",
"state": "OH",
"postal_code": "441014410",
"telephone_number": "702-341-3020",
"fax_number": "702-341-3503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N SANTA FE ST",
"city": "VISALIA",
"state": "CA",
"postal_code": "932925065",
"telephone_number": "702-341-3020",
"fax_number": "702-341-3503"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FRESNO VAMC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-07",
"last_updated": "2024-05-01",
"certification_date": "2024-05-01",
"status": "A",
"authorized_official_last_name": "POTTER",
"authorized_official_first_name": "ERIN",
"authorized_official_title_or_position": "NPI TEAM",
"authorized_official_telephone_number": "202-382-2579"
},
"taxonomies": [
{
"code": "261QV0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, VA",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Visalia VA Clinic",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Visalia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.