Kovahealthcare, Inc.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

Legal business name

KOVAHEALTHCARE, INC.

Practice address

7257 N Maple Ave Ste 104
Fresno, CA 93720-0167

Phone

(559) 207-3198

Fax

(559) 207-3901

NPI assigned

Jan 11, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Jose Juis Bautista, M.D.

Title

Officer

Phone

(559) 207-3198

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1629514906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7257 N MAPLE AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200167",
            "telephone_number": "559-207-3198",
            "fax_number": "559-207-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7257 N MAPLE AVE STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937200167",
            "telephone_number": "559-207-3198",
            "fax_number": "559-207-3901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOVAHEALTHCARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-11",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "JUIS",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "559-207-3198",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Health Maintenance Organization in Fresno, CA
• Providers in Fresno, CA by specialty
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.