Individual provider Active NPI

Michael Nagatani, M.D.

  • Pediatrics Physician
  • Visalia, CA
National Provider Identifier
1891792479
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A24481 Issued in CA
Practice address
5400 W Hillsdale Ave
Visalia, CA 93291-8222
Phone
(559) 738-7500
Fax
(559) 738-7560
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A24481 CA Primary

Addresses

Primary practice location

5400 W Hillsdale Ave
Visalia, CA 93291-8222

Mailing address

5400 W Hillsdale Ave
Visalia, CA 93291-8222
Phone (559) 738-7500

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
I20100823000153 CA Practitioner - Pediatric Medicine 9335273663

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A24481CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaweah Delta Health Care Inc CurrentSince Nov 1, 2015 Accepting new patients
Visalia Medical Clinic, Inc. Pediatrics Current Accepting new patients

Locations

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

5400 W Hillsdale Ave
Visalia, CA 93291
Phone (553) 733-5222

Organizations & group practices 2

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": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1891792479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 W HILLSDALE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932918222",
            "telephone_number": "559-738-7500",
            "fax_number": "559-738-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5400 W HILLSDALE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932918222",
            "telephone_number": "559-738-7500",
            "fax_number": "559-738-7560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAGATANI",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A24481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.