Individual provider Active NPI

Stanley Keala Tabura, PT

  • Physical Therapist
  • Visalia, CA
National Provider Identifier
1811869241
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
25753 Issued in CA
Practice address
2249 S Jacques St
Visalia, CA 93277-5563
Phone
(951) 453-8003
NPI assigned
Sep 23, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 25753 CA Primary

Addresses

Primary practice location

2249 S Jacques St
Visalia, CA 93277-5563

Mailing address

2249 S Jacques St
Visalia, CA 93277-5563
Phone (951) 453-8003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251020002650 CA Practitioner - Physical Therapist in Private Practice 6608364955 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Loma Linda University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vincent Alarcon Physical Therapist PCGroup PAC ID 5395113864, 4 clinicians

Practice addresses (Care Compare)

2230 W Sunnyside Ave
Suite 1
Visalia, CA 93277-7269
Phone (559) 713-6461

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
25753CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Vincent Alarcon Physical Therapist PC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients

Locations

2230 W Sunnyside Ave
Ste 1
Visalia, CA 93277
Phone (559) 713-6461

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1758585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758585600000",
    "number": "1811869241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2249 S JACQUES ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932775563",
            "telephone_number": "951-453-8003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2249 S JACQUES ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932775563",
            "telephone_number": "951-453-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABURA",
        "first_name": "STANLEY",
        "middle_name": "KEALA",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-09-23",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "25753",
            "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 Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.