Active NPI
Southern Tulare Medical Group
- Hematology & Oncology Physician
- Porterville, CA
National Provider Identifier
1295913358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- Legal business name
- SOUTHERN TULARE MEDICAL GROUP
- Practice address
- 465 W Putnam Ave
Porterville, CA 93257-3320 - Phone
- (559) 784-1110
- NPI assigned
- Jan 31, 2008
- 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
- Michael Attoh, MD
- Title
- MD
- Phone
- (559) 784-1110
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | Primary | ||
| Hospitalist Physician | 208M00000X |
Addresses
Primary practice location
465 W Putnam Ave
Porterville, CA 93257-3320
Mailing address
PO Box 7096
Stockton, CA 95267-0096
Phone (209) 956-7725
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ07552Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
| GR0095240 | Medicaid | CA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Porterville, CA
- NPI 1205861309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201737600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201737600000",
"number": "1295913358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7096",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952670096",
"telephone_number": "209-956-7725",
"fax_number": "209-956-7733"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 W PUTNAM AVE",
"city": "PORTERVILLE",
"state": "CA",
"postal_code": "932573320",
"telephone_number": "559-784-1110"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOUTHERN TULARE MEDICAL GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2008-01-31",
"last_updated": "2008-01-31",
"status": "A",
"authorized_official_last_name": "ATTOH",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "MD",
"authorized_official_telephone_number": "559-784-1110",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Hematology & Oncology",
"state": null,
"license": null,
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Hospitalist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "ZZZ07552Z",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0095240",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Porterville, CA
- Mary Ann Sotelo, REGISTERED NURSE
- Allen Thomas Soto, PA-C
- Jessica Maria Soto
- Nora Soto, CASE MANAGER
- South Tulare County One Stop
- Darla Jean Splawn, PA-C
- Eric Robert Stadtherr, PT
- Staff Worthy Medical Transportation LLC
- Davia Cheri Starkey, PA
- State of California - Department of Developmental Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.