Organization Active NPI

Nexus Healthcare Medical Corporation

  • Family Medicine Physician
  • Visalia, CA
National Provider Identifier
1760504435
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
FNP1685 Issued in CA
Legal business name
NEXUS HEALTHCARE MEDICAL CORPORATION
Practice address
3407 S Mooney Blvd
Visalia, CA 93277-7773
Phone
(559) 553-4550
NPI assigned
Apr 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Hans K Kankam, M.D.
Title
Ceo
Phone
(562) 607-1803

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X FNP1685 CA Primary

Addresses

Primary practice location

3407 S Mooney Blvd
Visalia, CA 93277-7773

Mailing address

3407 S Mooney Blvd
Visalia, CA 93277-7773
Phone (559) 553-4550

National Provider Directory

National Provider Directory

Locations

3407 S Mooney Blvd
Visalia, CA 93277
Phone (559) 553-4550

NPI Registry JSON

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

{
    "created_epoch": "1175644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760504435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 S MOONEY BLVD",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932777773",
            "telephone_number": "559-553-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 S MOONEY BLVD",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932777773",
            "telephone_number": "559-553-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXUS HEALTHCARE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KANKAM",
        "authorized_official_first_name": "HANS",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-607-1803",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "FNP1685",
            "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 Aug 22, 2020; 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.