San Joaquin Valley Medical

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SAN JOAQUIN VALLEY MEDICAL

Practice address

536 N Court St
Visalia, CA 93291-4913

Phone

(559) 732-4121

Fax

(559) 732-1822

NPI assigned

Jan 8, 2007

Last updated

Jan 16, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rita Nye

Title

Billing Super

Phone

(559) 783-1181

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200441600000",
    "number": "1699823278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "536 N COURT ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914913",
            "telephone_number": "559-732-4121",
            "fax_number": "559-732-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 N COURT ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914913",
            "telephone_number": "559-732-4121",
            "fax_number": "559-732-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAN JOAQUIN VALLEY MEDICAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2008-01-16",
        "status": "A",
        "authorized_official_last_name": "NYE",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "BILLING SUPER",
        "authorized_official_telephone_number": "559-783-1181"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A360321",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorrain Samuels
• San Joaquin Imaging
• San Joaquin Imaging
• San Joaquin Prime Care Medical Group Inc.
• San Joaquin Valley College
• Maria Regina Sanabria, ABAT
• Monica Sanchez Nevarez
• Millie Sanchez-Calleja
• Guadalupe Sanchez-Lopez
• Alma Rosa Sanchez-Rodriguez, DDS

• Family Medicine Physician in Visalia, CA
• Providers in Visalia, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2008; 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.