NPIMap

Individual provider Active NPI

Frederick William Mayer, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Visalia, CA
National Provider Identifier
1366417297
Registry record updated Mar 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
G35454 Issued in CA
Practice address
505 W Main St
Visalia, CA 93291-6149
Phone
(559) 627-8600
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X G35454 CA Primary

Addresses

Primary practice location

505 W Main St
Visalia, CA 93291-6149

Mailing address

505 W Main St
Visalia, CA 93291-6149
Phone (559) 627-8600

Other identifiers 1

IdentifierTypeStateIssuer
00G354540MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081126000419 CA Practitioner - Cardiac Surgery 5395633564 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac Surgery
Education
Wake Forest University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaweah Delta Health Care DistrictGroup PAC ID 6608778790, 110 clinicians

Practice addresses (Care Compare)

505 W Main St
Suite B
Visalia, CA 93291-6149
Phone (559) 627-6149

Hospital & facility affiliations

  • Kaweah Health Home Health Home health agency, Visalia, CA, CCN 057255
  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G35454CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Regional Medical Group, LLC CurrentSince Jul 19, 2022 Accepting new patients
Kaweah Delta Health Care District Current Accepting new patients
Kaweah Delta Health Care District CurrentSince Jan 17, 2022 Accepting new patients
Kaweah Delta Health Care District CurrentSince Jan 17, 2022 Accepting new patients
Sharp Chula Vista Medical Center Past Accepting new patients
Sharp Memorial Hospital Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients
Galen Hospital Alaska, Inc. Past Accepting new patients
Providence Health & Services Washington Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Starr-Wood Cardiac Group of Visalia Medical Corporation, PC PastSince Aug 31, 1995 Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients

Locations

2751 Debarr Rd
Ste B320
Anchorage, AK 99508
Phone (907) 375-2000

505 W Main St
Visalia, CA 93291
Phone (559) 627-8600

505 W Main St
Ste B
Visalia, CA 93291
Phone (559) 627-6149

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

840 S Akers St
Visalia, CA 93277
Phone (559) 624-3700

Organizations & group practices 12

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647475200000",
    "number": "1366417297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 W MAIN ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916149",
            "telephone_number": "559-627-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 W MAIN ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916149",
            "telephone_number": "559-627-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYER",
        "first_name": "FREDERICK",
        "middle_name": "WILLIAM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2022-03-17",
        "certification_date": "2022-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "G35454",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G354540",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.