Organization Active NPI

Kings Comprehensive Women's Healthcare Medical Group, Inc.

  • Obstetrics & Gynecology Physician
  • Hanford, CA
National Provider Identifier
1427089150
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
KINGS COMPREHENSIVE WOMEN'S HEALTHCARE MEDICAL GROUP, INC.
Practice address
1157 W Lacey Blvd
Hanford, CA 93230-4342
Phone
(559) 582-1041
Fax
(559) 582-4829
NPI assigned
Jul 5, 2006
Last updated
Jul 28, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Authorized official

Name
Thomas Schram Enloe, MDNPI 1093747396
Title
President
Phone
(559) 582-1041

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)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X Primary

Addresses

Primary practice location

1157 W Lacey Blvd
Hanford, CA 93230-4342

Mailing address

1157 W Lacey Blvd
Hanford, CA 93230-4342
Phone (559) 582-1041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040303000511 CA Part B Supplier - Clinic/Group Practice 4789571704 Receives reassigned benefits from 1 practitioner
Practice locations: Hanford, CA

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

1122 N Harris St
Ste 104
Hanford, CA 93230
Phone (559) 582-1041

1157 W Lacey Blvd
Hanford, CA 93230
Phone (559) 582-1041

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658966400000",
    "number": "1427089150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 W LACEY BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304342",
            "telephone_number": "559-582-1041",
            "fax_number": "559-582-4829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 W LACEY BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932304342",
            "telephone_number": "559-582-1041",
            "fax_number": "559-582-4829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KINGS COMPREHENSIVE WOMEN'S HEALTHCARE MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-05",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A",
        "authorized_official_last_name": "ENLOE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "SCHRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-582-1041",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.