Active NPI
Visalia Women'S Specialty Medical Group, Inc
- Obstetrics & Gynecology Physician
- Visalia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- Legal business name
- VISALIA WOMEN'S SPECIALTY MEDICAL GROUP, INC
- Practice address
- 1700 S Court St
Suite B
Visalia, CA 93277-4929 - Phone
- (559) 741-1202
- Fax
- (559) 741-0123
- NPI assigned
- Dec 22, 2006
- 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
- Dr. Andrea B Boone, MD
- Title
- Owner
- Phone
- (559) 741-1202
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | Primary |
Addresses
Primary practice location
1700 S Court St
Suite B
Visalia, CA 93277-4929
Mailing address
1700 S Court St
Suite B
Visalia, CA 93277-4929
Phone (559) 741-1202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0080010 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050414000868 | CA | Part B Supplier - Clinic/Group Practice | 7517904188 |
Receives reassigned benefits from 3 practitioners Practice locations: Visalia, CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0930567 | Visalia Womens Specialty Medical Group | Provider-performed microscopy | Jul 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
1700 S Court St
Ste Bste
Visalia, CA 93277
1700 S Court St
Ste B
Visalia, CA 93277
Phone (559) 741-1202
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Visalia, CA
- NPI 1528016235
CA, Obstetrics & Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166745600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756684800000",
"number": "1386709202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 S COURT ST",
"address_2": "SUITE B",
"city": "VISALIA",
"state": "CA",
"postal_code": "932774929",
"telephone_number": "559-741-1202",
"fax_number": "559-741-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 S COURT ST",
"address_2": "SUITE B",
"city": "VISALIA",
"state": "CA",
"postal_code": "932774929",
"telephone_number": "559-741-1202",
"fax_number": "559-741-0123"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VISALIA WOMEN'S SPECIALTY MEDICAL GROUP, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-22",
"last_updated": "2025-09-01",
"certification_date": "2025-09-01",
"status": "A",
"authorized_official_last_name": "BOONE",
"authorized_official_first_name": "ANDREA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "559-741-1202",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "GR0080010",
"state": "CA"
}
],
"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 Sep 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.