Individual provider Active NPI

Walter Blake Gribben, MD

  • Pulmonary Disease Physician
  • Visalia, CA
National Provider Identifier
1619296795
Registry record updated Oct 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
C155367 Issued in CA
Practice address
202 W Willow Ave Ste 202
Visalia, CA 93291-6238
Phone
(559) 624-6580
Fax
(559) 735-3085
NPI assigned
May 27, 2010
Last updated
Oct 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X C155367 CA Primary

Addresses

Primary practice location

202 W Willow Ave Ste 202
Visalia, CA 93291-6238

Mailing address

1525 E Noble Ave # 1029
Visalia, CA 93292-3043
Phone (559) 624-6580

Other practice location 1

1000 N Mooney Blvd
Tulare, CA 93274-2417
Phone (559) 685-7100

Other identifiers 2

IdentifierTypeStateIssuer
268374MedicaidAL
ENROLLEDMedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190626002000 CA Practitioner - Internal MedicinePractitioner - Pulmonary Disease 7719103647 Reassigns benefits to 3 organizations
I20210615001445 AL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 7719103647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of Alabama School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaweah Delta Health Care DistrictGroup PAC ID 6608778790, 110 clinicians
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians

Practice addresses (Care Compare)

202 W Willow Ave
Visalia, CA 93291-6238
Phone (559) 624-6570

400 W Mineral King Ave
Visalia, CA 93291-6237
Phone (559) 624-2001

840 S Akers St
Visalia, CA 93277-8309
Phone (559) 624-3741

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2014012620MOMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaweah Delta Health Care District CurrentSince May 1, 2025 Accepting new patients
Kaweah Delta Health Care District Current Accepting new patients
Kaweah Delta Health Care District CurrentSince May 1, 2025 Accepting new patients
Montgomery Pulmonary Consultants, P.a. Pulmonary Disease CurrentSince Jul 1, 2021 Accepting new patients
UC Regents Pulmonary Disease CurrentSince Sep 1, 2019 Accepting new patients
UC Regents CurrentSince Sep 1, 2019 Accepting new patients
UC Regents Current Accepting new patients
Inpatient Specialists of California, PC Hospitalist CurrentSince Dec 20, 2025 Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients

Locations

1440 Narrow Lane Pkwy
Montgomery, AL 36111
Phone (334) 281-4140

7080 Sydney Curv
Montgomery, AL 36117
Phone (334) 215-0711

1014 San Juan Ave
Exeter, CA 93221
Phone (559) 592-7300

839 Sequoia Ave
Lindsay, CA 93247
Phone (559) 302-7413

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

1000 N Mooney Blvd
Tulare, CA 93274
Phone (559) 624-6358

202 W Willow Ave
Ste 202
Visalia, CA 93291
Phone (559) 334-0181

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

840 S Akers St
Visalia, CA 93277
Phone (559) 624-3700

180 E Antelope Ave
Woodlake, CA 93286
Phone (559) 564-1800

Organizations & group practices 9

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 4

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": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792454400000",
    "number": "1619296795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 E NOBLE AVE # 1029",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932923043",
            "telephone_number": "559-624-6580",
            "fax_number": "559-735-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W WILLOW AVE STE 202",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916238",
            "telephone_number": "559-624-6580",
            "fax_number": "559-735-3085"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Mooney Blvd",
            "address_purpose": "LOCATION",
            "city": "Tulare",
            "state": "CA",
            "postal_code": "932742417",
            "country_code": "US",
            "telephone_number": "559-685-7100",
            "fax_number": "559-624-6590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRIBBEN",
        "first_name": "WALTER",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-27",
        "last_updated": "2026-10-20",
        "certification_date": "2026-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "C155367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "268374",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.