Visalia Walk in Medical Clinic Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

C27178 Issued in CA

Legal business name

VISALIA WALK IN MEDICAL CLINIC INC

Practice address

2431 W Caldwell Ave
Visalia, CA 93277

Phone

(559) 627-5555

Fax

(559) 734-1984

NPI assigned

Dec 19, 2007

Organization subpart

No

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

Authorized official

Name

Ursulina M Pires

Title

Office Manager

Phone

(559) 627-5555

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 4

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

• Ann H Johnson, DO

  • General Practice Physician
  • Visalia, CA
  • NPI 1871175992
  Medicare reassignment Care Compare group NPD
• Boyd A. Johnson, D.O.

  • Family Medicine Physician
  • Visalia, CA
  • NPI 1215015482
  Medicare reassignment Care Compare group NPD
• Pattie Ann Rhoades, FNP

  • Family Nurse Practitioner
  • Visalia, CA
  • NPI 1619005519
  Medicare reassignment NPD
• Karen Yvonne Villarreal, FNP

  • Primary Care Nurse Practitioner
  • Visalia, CA
  • NPI 1518341874
  Medicare reassignment NPD

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199318400000",
    "number": "1437333002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431 W CALDWELL AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93277",
            "telephone_number": "559-627-5555",
            "fax_number": "559-734-1984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431 W CALDWELL AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93277",
            "telephone_number": "559-627-5555",
            "fax_number": "559-734-1984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISALIA WALK IN MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-01-03",
        "status": "A",
        "authorized_official_last_name": "PIRES",
        "authorized_official_first_name": "URSULINA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "559-627-5555"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "C27178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "ZZZ15506Z",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Visalia Rehabilitative Medicine, Inc
• Visalia Rescue Mission
• Visalia Sport and Spine Rehabilitation Center Inc
• Visalia Unified School District
• Visalia Vascular Institute Inc
• Visalia Women'S Specialty Medical Group, Inc
• Visalia Youth Services
• Visalia Youth Services
• Visalia Youth Services
• Visalia Youth Services

• Family Medicine Physician in Visalia, CA
• Providers in Visalia, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2008; 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.

Verify at the official NPI Registry.