Active NPI
Elisabeth A Bossingham, M.D.
- Pediatrics Physician
- Visalia, CA
National Provider Identifier
1740286749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G69388
- Practice address
- 1827 S Court St
Suite F
Visalia, CA 93277-5469 - Phone
- (559) 622-0800
- Fax
- (559) 622-0801
- NPI assigned
- Jun 23, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G69388 | CA | Primary |
Addresses
Primary practice location
1827 S Court St
Suite F
Visalia, CA 93277-5469
Mailing address
1827 S Court St
Suite F
Visalia, CA 93277-5469
Phone (559) 622-0800
Other names 1
- Ms. Elisabeth A Hoag
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G69388 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elisabeth a. Bossingham, M.D., Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Visalia Pediatrics & Associates, Inc.
- Pediatrics Physician
- Visalia, CA
- NPI 1255358800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1740286749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1827 S COURT ST",
"address_2": "SUITE F",
"city": "VISALIA",
"state": "CA",
"postal_code": "932775469",
"telephone_number": "559-622-0800",
"fax_number": "559-622-0801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1827 S COURT ST",
"address_2": "SUITE F",
"city": "VISALIA",
"state": "CA",
"postal_code": "932775469",
"telephone_number": "559-622-0800",
"fax_number": "559-622-0801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSSINGHAM",
"first_name": "ELISABETH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-23",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G69388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELISABETH",
"last_name": "HOAG",
"middle_name": "A",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}
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 Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.