Organization Active NPI

Kings/Tulare Area Agency on Aging

  • Durable Medical Equipment & Medical Supplies
  • Visalia, CA
National Provider Identifier
1407016140
Registry record updated Nov 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
KINGS/TULARE AREA AGENCY ON AGING
Practice address
3500 W Mineral King Ave
Suite C
Visalia, CA 93291-5635
Phone
(559) 730-9920
Fax
(559) 624-1042
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2013

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

Authorized official

Name
Ms. Laura A. Silva
Title
Ktaaa Director
Phone
(559) 324-8006

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

3500 W Mineral King Ave
Suite C
Visalia, CA 93291-5635

Mailing address

5957 S Mooney Blvd
Visalia, CA 93277-9394
Phone (559) 624-8000

Other identifiers 1

IdentifierTypeStateIssuer
MSS00033FOtherCALEGACY

National Provider Directory

National Provider Directory

Locations

3500 W Mineral King Ave
Ste C
Visalia, CA 93291
Phone (559) 730-9920

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384992000000",
    "number": "1407016140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5957 S MOONEY BLVD",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779394",
            "telephone_number": "559-624-8000",
            "fax_number": "559-624-1042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 W MINERAL KING AVE",
            "address_2": "SUITE C",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915635",
            "telephone_number": "559-730-9920",
            "fax_number": "559-624-1042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS/TULARE AREA AGENCY ON AGING",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2013-11-21",
        "status": "A",
        "authorized_official_last_name": "SILVA",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "KTAAA DIRECTOR",
        "authorized_official_telephone_number": "559-324-8006",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LEGACY",
            "identifier": "MSS00033F",
            "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 Nov 21, 2013; 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.