Organization Active NPI

Mineral King Pediatrics

  • Legal Medicine
  • Visalia, CA
National Provider Identifier
1356524177
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
MINERAL KING PEDIATRICS
Practice address
1700 S Court St
Ste D
Visalia, CA 93277-4929
Phone
(559) 732-0637
Fax
(559) 732-5125
NPI assigned
Dec 14, 2007
Last updated
Dec 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Authorized official

Name
Mrs. Connie Flores
Title
Medical Billing Specialist
Phone
(559) 732-0637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal Medicine 173000000X NU Primary

Addresses

Primary practice location

1700 S Court St
Ste D
Visalia, CA 93277-4929

Mailing address

1700 S Court St
Ste D
Visalia, CA 93277-4929
Phone (559) 732-0637

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1356524177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S COURT ST",
            "address_2": "STE D",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774929",
            "telephone_number": "559-732-0637",
            "fax_number": "559-732-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S COURT ST",
            "address_2": "STE D",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774929",
            "telephone_number": "559-732-0637",
            "fax_number": "559-732-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINERAL KING PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "MEDICAL BILLING SPECIALIST",
        "authorized_official_telephone_number": "559-732-0637",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Dec 14, 2007; 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.