NPIMap

Individual provider Active NPI

David J Cislowski, MD

  • Cardiovascular Disease Physician
  • Visalia, CA
National Provider Identifier
1619924917
Registry record updated Jan 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G374870 Issued in CA
Practice address
609 W Acequia Ste a
Visalia, CA 93291
Phone
(559) 625-9902
Fax
(559) 625-9904
NPI assigned
May 30, 2006
Last updated
Jan 26, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G374870 CA Primary

Addresses

Primary practice location

609 W Acequia Ste a
Visalia, CA 93291

Mailing address

609 W Acequia Ste a
Visalia, CA 93291
Phone (559) 625-9902

Other identifiers 1

IdentifierTypeStateIssuer
00G374870MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100503000224 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 0345306346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kaweah Delta Health Care DistrictGroup PAC ID 6608778790, 110 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G374870CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaweah Delta Health Care District Current Accepting new patients
Kaweah Delta Health Care District CurrentSince Dec 26, 2017 Accepting new patients
Kaweah Delta Health Care District CurrentSince Dec 26, 2017 Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients

Locations

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

325 S Willis St
Visalia, CA 93291
Phone (559) 624-4080

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

820 S Akers St
Ste 130
Visalia, CA 93277
Phone (516) 301-0937

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

Organizations & group practices 6

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 5

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264464000000",
    "number": "1619924917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 W ACEQUIA STE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93291",
            "telephone_number": "559-625-9902",
            "fax_number": "559-625-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 W ACEQUIA STE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "93291",
            "telephone_number": "559-625-9902",
            "fax_number": "559-625-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CISLOWSKI",
        "first_name": "DAVID",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2010-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G374870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G374870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.