Individual provider Active NPI

Diana Caudillo, FNP

  • Family Nurse Practitioner
  • Visalia, CA
National Provider Identifier
1437666567
Registry record updated Nov 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95008077 Issued in CA
Practice address
820 S Akers St Ste 100
Visalia, CA 93277-8306
Phone
(559) 625-4118
NPI assigned
Jan 10, 2018
Last updated
Nov 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95008077 CA Primary

Addresses

Primary practice location

820 S Akers St Ste 100
Visalia, CA 93277-8306

Mailing address

3935 S San Joaquin St
Visalia, CA 93277-3446
Phone (559) 901-4679

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180813003134 CA Practitioner - Nurse Practitioner 2567710254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Central Valley General HospitalGroup PAC ID 8325957517, 89 clinicians
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

1025 N Douty St
Hanford, CA 93230-3722

384 Pearson Dr
Porterville, CA 93257-3368
Phone (559) 625-4118

820 S Akers St
Visalia, CA 93277-8306
Phone (559) 625-4118

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95008077CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group CurrentSince Jul 1, 2018 Accepting new patients
Bass Medical Group Current Accepting new patients
Bass Medical Group CurrentSince Jul 1, 2018 Accepting new patients
South Valley Vascular Associates Inc. CurrentSince Aug 1, 2025 Accepting new patients

Locations

7014 N Whitney Ave
Fresno, CA 93720
Phone (559) 321-2800

7045 N Maple Ave
Ste 107
Fresno, CA 93720

384 Pearson Dr
Porterville, CA 93257
Phone (559) 788-1022

820 S Akers St
Ste 100
Visalia, CA 93277
Phone (559) 624-6800

820 S Akers St
Ste 120
Visalia, CA 93277
Phone (559) 625-9601

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

Interoperability endpoints

  • Direct secure messaging: diana.caudillo@bass.eclinicaldirectplus.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1437666567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3935 S SAN JOAQUIN ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932773446",
            "telephone_number": "559-901-4679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 S AKERS ST STE 100",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778306",
            "telephone_number": "559-625-4118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAUDILLO",
        "first_name": "DIANA",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-10",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95008077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.