NPIMap

Organization Active NPI

Mineral King Surgical Associates, Inc.

  • Trauma Surgery Physician
  • Visalia, CA
National Provider Identifier
1356587497
Registry record updated May 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
Legal business name
MINERAL KING SURGICAL ASSOCIATES, INC.
Practice address
5533 W Hillsdale Ave
Suite C
Visalia, CA 93291-5138
Phone
(559) 622-8500
Fax
(559) 622-9410
NPI assigned
Dec 19, 2008
Last updated
May 21, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2014

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

Authorized official

Name
Toni M Boniske
Title
Billing Consultant
Phone
(559) 732-5290

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X
Trauma Surgery Physician 2086S0127X Primary

Addresses

Primary practice location

5533 W Hillsdale Ave
Suite C
Visalia, CA 93291-5138

Mailing address

PO Box 7436
Visalia, CA 93290-7436
Phone (559) 622-8500

National Provider Directory

National Provider Directory

Locations

501 S Watson St
Visalia, CA 93277
Phone (559) 625-9100

720 W Main St
Ste A
Visalia, CA 93291
Phone (559) 322-6600

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1229644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400630400000",
    "number": "1356587497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7436",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932907436",
            "telephone_number": "559-622-8500",
            "fax_number": "559-622-9410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5533 W HILLSDALE AVE",
            "address_2": "SUITE C",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915138",
            "telephone_number": "559-622-8500",
            "fax_number": "559-622-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINERAL KING SURGICAL ASSOCIATES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-19",
        "last_updated": "2014-05-21",
        "status": "A",
        "authorized_official_last_name": "BONISKE",
        "authorized_official_first_name": "TONI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "BILLING CONSULTANT",
        "authorized_official_telephone_number": "559-732-5290"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "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 May 21, 2014; 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.