Kaweah Delta Health Care District

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

License

240000785 Issued in CA

Legal business name

KAWEAH DELTA HEALTH CARE DISTRICT

Doing business as

Kaweah Delta Porterville Dialysis

Practice address

385 Pearson Dr
Porterville, CA 93257-3305

Phone

(559) 624-2000

Fax

(559) 713-2356

NPI assigned

Mar 29, 2006

Organization subpart

Yes

Parent organization

KAWEAH DELTA HEALTH CARE DISTRICTAs reported in NPPES

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

Authorized official

Name

Malinda Tupper

Title

SRVP/Chief Financial Officer

Phone

(559) 624-4065

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Kaweah Delta Porterville Dialysis Doing business as

Part of

Kaweah Delta District H

Locations

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1427019736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W MINERAL KING AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916237",
            "telephone_number": "559-624-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 PEARSON DR",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932573305",
            "telephone_number": "559-624-2000",
            "fax_number": "559-713-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAWEAH DELTA HEALTH CARE DISTRICT",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAWEAH DELTA HEALTH CARE DISTRICT",
        "enumeration_date": "2006-03-29",
        "last_updated": "2023-03-07",
        "certification_date": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "TUPPER",
        "authorized_official_first_name": "MALINDA",
        "authorized_official_title_or_position": "SRVP/CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "559-624-4065"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "CA",
            "license": "240000785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ12669Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "CDC02642F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kaweah Delta Porterville Dialysis",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kaweah Delta Porterville Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nellya Kandkhorova, MD
• Rona Lynn Kane
• Kannappan Mohan, M.D., Inc., Professional Corporation
• Bhavna Kashyap, MD
• Surinder Pal Kaur
• Ernest W Kazato, M.D.
• Akashdeep Singh Khahera, M.D.
• Obaid Khan, DO
• Albert Howard Khoo, MD
• Byungjoon Kim

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Porterville, CA
• Providers in Porterville, CA by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.