Organization Active NPI

Renal Medical Group

  • Medical Specialty Clinic/Center
  • Visalia, CA
National Provider Identifier
1669503967
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
RENAL MEDICAL GROUP
Practice address
515 S Locust St
Visalia, CA 93277-2616
Phone
(559) 625-4630
Fax
(559) 625-4699
NPI assigned
Mar 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Authorized official

Name
Roger J Haley, M.D.
Title
Partner
Phone
(559) 625-4630

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

515 S Locust St
Visalia, CA 93277-2616

Mailing address

515 S Locust St
Visalia, CA 93277-2616
Phone (559) 625-4630

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323043200000",
    "number": "1669503967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 S LOCUST ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772616",
            "telephone_number": "559-625-4630",
            "fax_number": "559-625-4699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 S LOCUST ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932772616",
            "telephone_number": "559-625-4630",
            "fax_number": "559-625-4699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-08",
        "last_updated": "2011-12-05",
        "status": "A",
        "authorized_official_last_name": "HALEY",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "559-625-4630",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2011; 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.