Individual provider Active NPI

Elton Tripp

  • Physician Assistant
  • Hanford, CA
National Provider Identifier
1811074677
Registry record updated Sep 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA18501 Issued in CA
Practice address
1025 N Douty St
Hanford, CA 93230-3722
Phone
(559) 583-2254
Fax
(559) 583-2195
NPI assigned
Nov 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA18501 CA Primary

Addresses

Primary practice location

1025 N Douty St
Hanford, CA 93230-3722

Mailing address

1479 W Lacey Blvd
Hanford, CA 93230-5906
Phone (559) 583-4625

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061204000540 CA Practitioner - Physician Assistant 4981603842 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Family HealthGroup PAC ID 9234176363, 93 clinicians
Cherry ClinicGroup PAC ID 6002235223, 7 clinicians

Practice addresses (Care Compare)

1110 W Visalia Rd
Suite 102
Exeter, CA 93221-1481
Phone (866) 707-6664

2335 E Kashian LN
Fresno, CA 93701-2234

355 Campus Dr
Suite E
Hanford, CA 93230-4376
Phone (866) 707-6664

40657 Rd
Suite 128
Cutler, CA 93615-2003
Phone (559) 390-0023

860 Sequoia Ave
Lindsay, CA 93247-1425
Phone (866) 707-6664

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA18501CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Family Health CurrentSince Oct 4, 2021 Accepting new patients
Nes Western Group, a Professional Corporation CurrentSince Jan 1, 2019 Accepting new patients
Community Foundation Medical Group CurrentSince Apr 1, 2021 Accepting new patients
Sierra Pacific Orthopaedic Center Medical Group, Inc. CurrentSince Jan 11, 2016 Accepting new patients
Omni Family Health CurrentSince Oct 4, 2021 Accepting new patients
Medflow PC Past Accepting new patients
Valley Health Team, Inc Past Accepting new patients
Fresno Community Hospital and Medical Center Past Accepting new patients
Fresno Surgery Center LP Past Accepting new patients
Kaweah Delta Health Care District Past Accepting new patients
Community Foundation Medical Group Past Accepting new patients
Simonian Sports Medicine Clinic a Medical Corporation Past Accepting new patients

Locations

4900 California Ave
Ste 400B
Bakersfield, CA 93309
Phone (661) 630-7046

2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000

1110 W Visalia Rd
Ste 102
Exeter, CA 93221

1630 E Herndon Ave
Fresno, CA 93720
Phone (559) 256-5200

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

355 Campus Dr
Ste E
Hanford, CA 93230
Phone (559) 584-0668

860 Sequoia Ave
Lindsay, CA 93247

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

Interoperability endpoints

  • Direct secure messaging: elton.tripp.p1@direct.omnifamilyhealth.nextgenshare.com
  • Direct secure messaging: elton.tripp.p4@direct.vht.nextgenshare.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409788800000",
    "number": "1811074677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1479 W LACEY BLVD",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932305906",
            "telephone_number": "559-583-4625",
            "fax_number": "559-583-4625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 N DOUTY ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303722",
            "telephone_number": "559-583-2254",
            "fax_number": "559-583-2195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPP",
        "first_name": "ELTON",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2014-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA18501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.