NPIMap

Organization Active NPI

Erick Madrigal, MD, Mba, Inc.

Doing business as Living Water Community Health & Wellness Clinic

  • Family Medicine Physician
  • Porterville, CA
National Provider Identifier
1609124692
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
ERICK MADRIGAL, MD, MBA, INC.
Doing business as
Living Water Community Health & Wellness Clinic
Practice address
222 W Henderson Ave
Porterville, CA 93257-1731
Phone
(559) 784-5483
NPI assigned
Aug 22, 2012
Last updated
Oct 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Brandy Leyva
Title
Clinic Manager
Phone
(559) 719-8108

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

222 W Henderson Ave
Porterville, CA 93257-1731

Mailing address

222 W Henderson Ave
Porterville, CA 93257-1731
Phone (559) 784-5483

Other practice location 1

833 Sequoia Ave
Lindsay, CA 93247-1424
Phone (559) 562-1361

Other practice location 2

101 N Palm St
Woodlake, CA 93286-1422
Phone (559) 564-1100

Other practice location 3

1410 S Mooney Blvd
Visalia, CA 93277-4440
Phone (559) 635-1746

Other practice location 4

222 W Henderson Ave
Porterville, CA 93257-1731
Phone (559) 784-5483

Other names 1

  • Living Water Community Health & Wellness Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130419000312 CA Part B Supplier - Clinic/Group Practice 9436395324 Receives reassigned benefits from 36 practitioners
Practice locations: Porterville, CA

Other NPIs with the same Medicare PAC ID 2

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

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.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2076101Erick Madrigal, MD, Mba, Inc.222 W Henderson Ave, Porterville, CA 93257Provider-performed microscopyApr 10, 2028
05D2133418Erick Madrigal MD, Mba, Inc1410 S Mooney Blvd, Visalia, CA 93277Provider-performed microscopyJul 11, 2027

National Provider Directory

National Provider Directory

Locations

1410 S Mooney Blvd
Visalia, CA 93277
Phone (559) 635-1746

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Clinica Agua VivaLindsay, CA, CCN 558907 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Sep 30, 2011

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 42

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 42

NPI Registry JSON

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

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1609124692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 W HENDERSON AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932571731",
            "telephone_number": "559-784-5483",
            "fax_number": "559-784-5433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 W HENDERSON AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932571731",
            "telephone_number": "559-784-5483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 Sequoia Ave",
            "address_purpose": "LOCATION",
            "city": "Lindsay",
            "state": "CA",
            "postal_code": "932471424",
            "country_code": "US",
            "telephone_number": "559-562-1361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 N Palm St",
            "address_purpose": "LOCATION",
            "city": "Woodlake",
            "state": "CA",
            "postal_code": "932861422",
            "country_code": "US",
            "telephone_number": "559-564-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1410 S Mooney Blvd",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932774440",
            "country_code": "US",
            "telephone_number": "559-635-1746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "222 W Henderson Ave",
            "address_purpose": "LOCATION",
            "city": "Porterville",
            "state": "CA",
            "postal_code": "932571731",
            "country_code": "US",
            "telephone_number": "559-784-5483",
            "fax_number": "559-784-5433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ERICK MADRIGAL, MD, MBA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-22",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "LEYVA",
        "authorized_official_first_name": "BRANDY",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "559-719-8108"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Water Community Health & Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Living Water Community Health & Wellness Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Porterville, CA

Sources for this page

Verify at the official NPI Registry.