NPIMap

Organization Active NPI

Kaweah Delta Health Care District

Doing business as Kaweah Health Mental Health

  • Psychiatric Hospital Unit
  • Visalia, CA
National Provider Identifier
1467413708
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
120000580 Issued in CA
Legal business name
KAWEAH DELTA HEALTH CARE DISTRICT
Doing business as
Kaweah Health Mental Health
Practice address
1100 S Akers St
Visalia, CA 93277-8311
Phone
(559) 624-2000
Fax
(559) 713-2356
NPI assigned
Mar 28, 2006
Last updated
Jul 27, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
KAWEAH DELTA HEALTH CARE DISTRICTAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X
Supports Brokerage Agency 251X00000X
Psychiatric Hospital Unit 273R00000X 120000580 CA Primary

Addresses

Primary practice location

1100 S Akers St
Visalia, CA 93277-8311

Mailing address

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 624-2739

Other names 1

  • Kaweah Health Mental Health Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address providerenrollment@kdhcd.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20071205000537 CA Part A Provider - Hospital 6608778790 Practice locations: Visalia, CA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1467413708. Details of each certification follow.

Hospital certification: CCN 05S057

Legal name
KAWEAH DELTA HEALTH CARE DISTRICT
Doing business as
KAWEAH HEALTH MENTAL HEALTH HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
1100 S Akers St
Visalia, CA 93277-8311
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

Hospital certification: CCN 054118

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CHARTER BEHAVIORAL HLTH SYS OF VISALIA
Certification status
Terminated Voluntary: merger or closure, Aug 31, 1995
Provider type (POS)
Hospital – Psychiatric
Participating since
Dec 21, 1990
Last certification
Dec 19, 1990
Beds
64
Ownership / control type
Private (for profit)
Most recent change of ownership
Jul 1, 1994 (1 total)
Facility address
1100 South Akers Street
Visalia, CA 93277

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Kaweah Delta Dist Eeg D28 organizations share this tax ID, including this one
Part of
Kaweah Delta Dist Eeg D

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

Ownership & related parties

All disclosed owners & managing parties 10

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Jagdev Batth Individual Corporate OfficerChief Operating Officer Mar 1, 2020
W-2 Managing EmployeeChief Operating Officer Mar 1, 2020
Dean Levitan Individual Corporate DirectorBoard Member/Zone 3 Feb 9, 2024
Anthony Olmos Individual Corporate DirectorBoard Member, Zone I Dec 4, 2020
Benjamin Cripps Individual Corporate OfficerChief Compliance & Risk Officer Feb 12, 2017
W-2 Managing EmployeeCompliance & Privacy Officer Feb 12, 2017
Malinda Tupper Individual Corporate DirectorChief Financial Officer Feb 4, 2018
W-2 Managing EmployeeChief Financial Officer Apr 24, 2017
Armando Murrieta Individual Corporate DirectorBoard Member/Zone 5 Dec 4, 2024
Marc Mertz Individual Corporate OfficerChief Executive Officer Dec 22, 2025
W-2 Managing EmployeeChief Executive Officer Dec 22, 2025
Kaweah Delta Health Care District Organization, Visalia, CA Non-profit 5% Or Greater Direct Ownership Interest Nov 26, 2007
David Francis Individual Corporate DirectorBoard President, Zone IV Mar 22, 2018
Scott Baker Individual Corporate OfficerChief Nursing Officer Dec 12, 2025
W-2 Managing EmployeeChief Nursing Officer Dec 12, 2025

Owners & managing parties with NPI records 17

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 17

All facility ownership & control disclosures 11

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Kaweah Health Medical CenterVisalia, CA, CCN 050057 Hospital Operational/Managerial Control Jul 1, 1967
Kaweah Health Rehabilitation HospitalVisalia, CA, CCN 05T057 Hospital 5% Or Greater Direct Ownership Interest Nov 26, 2007
Kaweah Health Skilled Nursing CenterVisalia, CA, CCN 555396 Skilled nursing facility 5% Or Greater Direct Ownership Interest (100%)
Operational/Managerial Control
Adp of the SNF		 Oct 24, 1989
Dec 16, 2024
Jan 7, 2025
Kaweah Health Home HealthVisalia, CA, CCN 057255 Home health agency 5% Or Greater Direct Ownership Interest (100%) Jul 17, 2008
Kaweah Health HospiceVisalia, CA, CCN 051748 Hospice 5% Or Greater Direct Ownership Interest (100%) May 16, 2002
Kaweah Health Exeter ClinicExeter, CA, CCN 058508 Rural health clinic 5% Or Greater Direct Ownership Interest Jul 17, 2008
Kaweah Health Lindsay ClinicLindsay, CA, CCN 058649 Rural health clinic 5% Or Greater Direct Ownership Interest Jun 19, 2009
Kaweah Health Woodlake ClinicWoodlake, CA, CCN 058659 Rural health clinic Other Jan 12, 2012
Kaweah Health Dinuba ClinicDinuba, CA, CCN 058677 Rural health clinic Operational/Managerial Control Sep 1, 2014
Kaweah Health Tulare ClinicTulare, CA, CCN 058717 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Feb 1, 2021
Kaweah Health Valencia ClinicWoodlake, CA, CCN 058734 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Jun 19, 2025

Owned or controlled facilities with NPI records 11

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 10

Facilities that share an organizational owner with 5% or greater ownership or operational control.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658880000000",
    "number": "1467413708",
    "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",
            "fax_number": "559-713-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S AKERS ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778311",
            "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": "2006-03-28",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "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": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "CA",
            "license": "120000580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "providerenrollment@kdhcd.org",
            "affiliation": "N",
            "address_1": "1100 S Akers St",
            "city": "Visalia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932778311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kaweah Health Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.