Individual provider Active NPI

Elizabeth Miyo Sasaki, D.O.

  • Family Medicine Physician
  • Visalia, CA
National Provider Identifier
1801829411
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A4991 Issued in CA
Practice address
419 W Murray Ave
Suite a
Visalia, CA 93291-4970
Phone
(559) 732-6414
Fax
(559) 732-2909
NPI assigned
Jul 8, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A4991 CA Primary

Addresses

Primary practice location

419 W Murray Ave
Suite a
Visalia, CA 93291-4970

Mailing address

419 W Murray Ave
Suite a
Visalia, CA 93291-4970
Phone (559) 732-6414

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
I20040326000544 CA Practitioner - Family Practice 3678465457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Oklahoma State University College of Osteopathic Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Visalia Family Medicine Group IncGroup PAC ID 2365878014, 3 clinicians

Practice addresses (Care Compare)

100 Willow PLZ
Suite 305
Visalia, CA 93291-6215
Phone (559) 741-9034

Hospital & facility affiliations

  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4991CAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Visalia Family Practice Medical Group Family Medicine CurrentSince Jul 15, 2019 Accepting new patients
Valley Hospitalist Medical Group, Inc Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients

Locations

107 N Hall St
Ste D
Visalia, CA 93291
Phone (559) 625-9200

107 N Hall St
Ste C
Visalia, CA 93291
Phone (559) 622-8533

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAFIAA
  • Direct secure messaging: elizabeth.sasaki.p1@direct.altura.nextgenshare.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801829411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 W MURRAY AVE",
            "address_2": "SUITE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914970",
            "telephone_number": "559-732-6414",
            "fax_number": "559-732-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 W MURRAY AVE",
            "address_2": "SUITE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914970",
            "telephone_number": "559-732-6414",
            "fax_number": "559-732-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SASAKI",
        "first_name": "ELIZABETH",
        "middle_name": "MIYO",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A4991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.