Individual provider Active NPI

Chad Lee Applegate, PA-C

  • Physician Assistant
  • Visalia, CA
National Provider Identifier
1568693265
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20442 Issued in CA
Practice address
5533 W Hillsdale Ave
Ste C
Visalia, CA 93291-5138
Phone
(559) 622-8500
Fax
(559) 622-9410
NPI assigned
Jul 30, 2009
Last updated
Jul 10, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20442 CA Primary

Addresses

Primary practice location

5533 W Hillsdale Ave
Ste C
Visalia, CA 93291-5138

Mailing address

615W Cherry CT
Visalia, CA 93277-6679
Phone (559) 679-3620

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
I20090922000028 CA Practitioner - Physician Assistant 6507912250 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.8 of 100Reported as group
Quality
72.52
Improvement activities
40
Cost
59.71

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
20442CAMDSpeech-Language Pathologist
PA20442CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Mineral King Surgical Associates, Inc. Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1248912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1568693265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615W CHERRY CT",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932776679",
            "telephone_number": "559-679-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5533 W HILLSDALE AVE",
            "address_2": "STE C",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915138",
            "telephone_number": "559-622-8500",
            "fax_number": "559-622-9410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APPLEGATE",
        "first_name": "CHAD",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-30",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20442",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.