Active NPI
Hanford Primary Care Medical Associates, Inc.
- Family Medicine Physician
- Visalia, CA
National Provider Identifier
1770809055
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A85143
- Legal business name
- HANFORD PRIMARY CARE MEDICAL ASSOCIATES, INC.
- Practice address
- 5109 W Goshen Ave
Visalia, CA 93291-8620 - Phone
- (559) 740-7989
- Fax
- (559) 740-7952
- NPI assigned
- Apr 12, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Daria Majzoubi, MD
- Title
- Ceo
- Phone
- (559) 740-7989
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A85143 | CA | Primary |
| Durable Medical Equipment & Medical Supplies | 332B00000X | CA |
Addresses
Primary practice location
5109 W Goshen Ave
Visalia, CA 93291-8620
Mailing address
5109 W Goshen Ave
Visalia, CA 93291-8620
Phone (559) 740-7989
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
5109 W Goshen Ave
Visalia, CA 93291
Phone (559) 740-7989
Practitioners & affiliated clinicians
Practitioners 7
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Hanford, CA
- NPI 1811941628
-
- Family Medicine Physician
- Hanford, CA
- NPI 1740267426
-
- Family Medicine Physician
- Lemoore, CA
- NPI 1912954835
-
- Family Medicine Physician
- Hanford, CA
- NPI 1902852197
-
- Family Medicine Physician
- Hanford, CA
- NPI 1962413625
-
- Internal Medicine Physician
- Hanford, CA
- NPI 1386697514
-
- Family Medicine Physician
- Orem, UT
- NPI 1912984600
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1412899200000",
"number": "1770809055",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5109 W GOSHEN AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932918620",
"telephone_number": "559-740-7989",
"fax_number": "559-740-7952"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5109 W GOSHEN AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932918620",
"telephone_number": "559-740-7989",
"fax_number": "559-740-7952"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HANFORD PRIMARY CARE MEDICAL ASSOCIATES, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-12",
"last_updated": "2014-10-10",
"status": "A",
"authorized_official_last_name": "MAJZOUBI",
"authorized_official_first_name": "DARIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "559-740-7989",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "CA",
"license": "A85143",
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": "CA",
"license": null,
"primary": false
}
],
"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 Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.