Individual provider Active NPI

Rebecca Rachel King Kawagoe, DO

  • Family Medicine Physician
  • Tulare, CA
National Provider Identifier
1316526577
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A20472 Issued in CA
Practice address
2059 Hillman St
Tulare, CA 93274-1609
Phone
(559) 605-0090
NPI assigned
Apr 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 20A20472 CA Primary

Addresses

Primary practice location

2059 Hillman St
Tulare, CA 93274-1609

Mailing address

2059 Hillman St
Tulare, CA 93274-1609
Phone (559) 605-0090

Other practice location 1

11899 Shaw Pl
Hanford, CA 93230-6644
Phone (559) 537-0192

Other practice location 2

250 W El Monte Way
Dinuba, CA 93618-1554
Phone (559) 595-9890

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240913003376 CA Practitioner - Family Practice 3072053230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reedley Community HospitalGroup PAC ID 0941460984, 60 clinicians

Practice addresses (Care Compare)

115 Mall Dr
Hanford, CA 93230-5786

Hospital & facility affiliations

  • Adventist Health Reedley Hospital, Reedley, CA, CCN 050192
  • Adventist Health Hanford Hospital, Hanford, CA, CCN 050121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20472CAMDMarriage & Family Therapist
20A20472CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reedley Community Hospital CurrentSince Sep 30, 2024 Accepting new patients
Reedley Community Hospital Multi-Specialty CurrentSince Sep 30, 2024 Accepting new patients
Adventist Health Physicians Network Multi-Specialty Past Accepting new patients

Locations

250 W El Monte Way
Dinuba, CA 93618
Phone (559) 595-9890

11899 Shaw Pl
Hanford, CA 93230
Phone (559) 537-0192

372 W Cypress Ave
Reedley, CA 93654
Phone (559) 391-3110

2059 Hillman St
Tulare, CA 93274
Phone (559) 605-0090

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1617580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1316526577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2059 HILLMAN ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932741609",
            "telephone_number": "559-605-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2059 HILLMAN ST",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932741609",
            "telephone_number": "559-605-0090"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11899 Shaw Pl",
            "address_purpose": "LOCATION",
            "city": "Hanford",
            "state": "CA",
            "postal_code": "932306644",
            "country_code": "US",
            "telephone_number": "559-537-0192",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "250 W El Monte Way",
            "address_purpose": "LOCATION",
            "city": "Dinuba",
            "state": "CA",
            "postal_code": "936181554",
            "country_code": "US",
            "telephone_number": "559-595-9890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAWAGOE",
        "first_name": "REBECCA",
        "middle_name": "RACHEL KING",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-05",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A20472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulare, CA

Sources for this page

Verify at the official NPI Registry.