Organization Active NPI

Association of Professional Medical Centers Inc

  • Neurology Physician
  • Visalia, CA
National Provider Identifier
1831499573
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
G36466 Issued in CA
Legal business name
ASSOCIATION OF PROFESSIONAL MEDICAL CENTERS INC
Practice address
5344 W Prospect CT
Visalia, CA 93291-9274
Phone
(559) 625-1691
Fax
(559) 625-1064
NPI assigned
Oct 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Authorized official

Name
Dr. Richard Leo Pantera, MD
Title
President
Phone
(559) 625-1691

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X G36466 CA Primary

Addresses

Primary practice location

5344 W Prospect CT
Visalia, CA 93291-9274

Mailing address

5344 W Prospect CT
Visalia, CA 93291-9274
Phone (559) 625-1691

Other identifiers 1

IdentifierTypeStateIssuer
00G364660MedicaidCA

National Provider Directory

National Provider Directory

Locations

202 W Willow Ave
Ste 305
Visalia, CA 93291
Phone (559) 622-8687

NPI Registry JSON

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

{
    "created_epoch": "1288224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1702339200000",
    "number": "1831499573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5344 W PROSPECT CT",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932919274",
            "telephone_number": "559-625-1691",
            "fax_number": "559-625-1064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5344 W PROSPECT CT",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932919274",
            "telephone_number": "559-625-1691",
            "fax_number": "559-625-1064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATION OF PROFESSIONAL MEDICAL CENTERS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-28",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A",
        "authorized_official_last_name": "PANTERA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "LEO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "559-625-1691",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "CA",
            "license": "G36466",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G364660",
            "state": "CA"
        }
    ],
    "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 Dec 12, 2023; 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.