Organization Active NPI

Milestone Pediatrics, Inc.

  • Pediatrics Physician
  • Visalia, CA
National Provider Identifier
1811570211
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
MILESTONE PEDIATRICS, INC.
Practice address
3435 S Demaree St Ste a
Visalia, CA 93277-7006
Phone
(559) 746-7337
NPI assigned
May 3, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Authorized official

Name
Mrs. Jennifer Pacheco, FNPNPI 1386078780
Title
Owner
Phone
(559) 746-7337

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

3435 S Demaree St Ste a
Visalia, CA 93277-7006

Mailing address

3435 S Demaree St Ste a
Visalia, CA 93277-7006
Phone (559) 746-7337

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jen@milestone-pediatrics.com Direct

National Provider Directory

National Provider Directory

Locations

3435 S Demaree St
Visalia, CA 93277

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1620000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625529600000",
    "number": "1811570211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3435 S DEMAREE ST STE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932777006",
            "telephone_number": "559-746-7337",
            "fax_number": "559-746-7746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3435 S DEMAREE ST STE A",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932777006",
            "telephone_number": "559-746-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILESTONE PEDIATRICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-03",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A",
        "authorized_official_last_name": "PACHECO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-746-7337",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jen@milestone-pediatrics.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3435 S Demaree St Ste A",
            "city": "Visalia",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932777006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Jul 6, 2021; 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.