Organization Active NPI

Neurology Associates of Tulare, PC

  • Sleep Medicine (Psychiatry & Neurology) Physician
  • Visalia, CA
National Provider Identifier
1285775270
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084S0012X
Legal business name
NEUROLOGY ASSOCIATES OF TULARE, PC
Practice address
4042 S Demaree St
Visalia, CA 93277-9476
Phone
(559) 754-2967
NPI assigned
Feb 11, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Khadija S. Rashid, M.D.NPI 1467593459
Title
Ceo
Phone
(559) 325-8437

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X NU
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X NU Primary

Addresses

Primary practice location

4042 S Demaree St
Visalia, CA 93277-9476

Mailing address

1255 N Cherry St
Pmb603
Tulare, CA 93274-2233
Phone (559) 325-8437

Other practice location 1

255 W Herndon Ave
Clovis, CA 93612-0381
Phone (559) 325-8427

Other identifiers 1

IdentifierTypeStateIssuer
00A969660MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070605000702 CA Part B Supplier - Clinic/Group Practice 4688772205 Receives reassigned benefits from 1 practitioner
Practice locations: Visalia, CA

National Provider Directory

National Provider Directory

Locations

415 E Cross Ave
Tulare, CA 93274

4046 S Demaree St
Visalia, CA 93277
Phone (559) 684-8156

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1171152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1285775270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1255 N CHERRY ST",
            "address_2": "PMB603",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932742233",
            "telephone_number": "559-325-8437",
            "fax_number": "559-684-8198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4042 S DEMAREE ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779476",
            "telephone_number": "559-754-2967"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 W Herndon Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936120381",
            "country_code": "US",
            "telephone_number": "559-325-8427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NEUROLOGY ASSOCIATES OF TULARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-11",
        "last_updated": "2023-03-07",
        "certification_date": "2020-09-21",
        "status": "A",
        "authorized_official_last_name": "RASHID",
        "authorized_official_first_name": "KHADIJA",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-325-8437",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A969660",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.