NPIMap

Organization Active NPI

South Valley Vascular Associates Inc.

  • Vascular Surgery Physician
  • Visalia, CA
National Provider Identifier
1508166190
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
Legal business name
SOUTH VALLEY VASCULAR ASSOCIATES INC.
Practice address
820 S Akers St Ste 100
Visalia, CA 93277-8306
Phone
(559) 625-4118
Fax
(559) 625-6004
NPI assigned
Oct 28, 2010
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Matthew P Campbell, M.D.NPI 1083735070
Title
President
Phone
(559) 625-4118

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 9

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

Laboratory certificates & supplier records

Derived by NPIMap

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

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Prosthetic Clinic820 S Akers St, Visalia, CA 93277-8346(559) 625-4118 Limb Prostheses Accepts assignmentParticipating since Jan 1, 2011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20110224000746 CA Part B Supplier - Clinic/Group Practice 5496936346 Receives reassigned benefits from 9 practitioners
Practice locations: Fresno, CA; Hanford, CA; Porterville, CA; Visalia, CA
O20260309001121 CA DME Supplier - Physician - Vascular SurgeryDME Supplier - Prosthetic Personnel 5496936346 Practice locations: Visalia, CA

National Provider Directory

National Provider Directory

Locations

7045 N Maple Ave
Ste 107
Fresno, CA 93720

384 Pearson Dr
Porterville, CA 93257
Phone (559) 781-5179

820 S Akers St
Ste 120A
Visalia, CA 93277

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0129X Primary
Prosthetic/Orthotic Supplier 335E00000X

Addresses

NPPES NPI Registry

Primary practice location

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

Mailing address

820 S Akers St Ste 100
Visalia, CA 93277-8306
Phone (559) 625-4118

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 11, 2026.

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789084800000",
    "number": "1508166190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 S AKERS ST STE 100",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778306",
            "telephone_number": "559-625-4118",
            "fax_number": "559-625-6004"
        },
        {
            "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",
            "fax_number": "559-625-6004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH VALLEY VASCULAR ASSOCIATES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-625-4118",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; 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.