Individual provider Active NPI

Sandhya Jitendra Kadam, MD

  • Pediatrics Physician
  • Visalia, CA
National Provider Identifier
1669823779
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A158435 Issued in CA
Practice address
2333 S Mooney Blvd
Visalia, CA 93277-6228
Phone
(877) 960-3426
Fax
(559) 734-1247
NPI assigned
Jun 29, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A158435 CA Primary

Addresses

Primary practice location

2333 S Mooney Blvd
Visalia, CA 93277-6228

Mailing address

305 E Center Ave
Visalia, CA 93291-6331
Phone (559) 737-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20190826003789 CA Practitioner - Pediatric Medicine 1052663630 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A158435CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince Jul 29, 2019 Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network Current Accepting new patients
Family Healthcare Network CurrentSince Jul 29, 2019 Accepting new patients
Family Healthcare Network Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients

Locations

2333 S Mooney Blvd
Visalia, CA 93277
Phone (559) 205-1800

401 E School Ave
Visalia, CA 93291
Phone (559) 741-4356

501 N Bridge St
Visalia, CA 93291
Phone (559) 734-1939

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

Interoperability endpoints

  • Direct secure messaging: sandhya.kadam@fhcn.eclinicaldirectplus.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/CCECCA

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1669823779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 E CENTER AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916331",
            "telephone_number": "559-737-4700",
            "fax_number": "559-734-1247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333 S MOONEY BLVD",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932776228",
            "telephone_number": "877-960-3426",
            "fax_number": "559-734-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADAM",
        "first_name": "SANDHYA",
        "middle_name": "JITENDRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A158435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.