NPIMap

Organization Active NPI

Starr-Wood Cardiac Group of Visalia Medical Corporation, PC

  • Clinic/Center
  • Visalia, CA
National Provider Identifier
1902871841
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
FNP23902 Issued in CA
Legal business name
STARR-WOOD CARDIAC GROUP OF VISALIA MEDICAL CORPORATION, PC
Practice address
100 Willow PLZ
Suite 301
Visalia, CA 93291-6206
Phone
(559) 734-3278
Fax
(503) 627-5723
NPI assigned
Feb 22, 2006
Last updated
Jun 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Frederick William Mayer, MDNPI 1366417297
Title
Cardiac Services
Phone
(559) 734-3278

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
Clinic/Center 261Q00000X FNP23902 CA Primary

Addresses

Primary practice location

100 Willow PLZ
Suite 301
Visalia, CA 93291-6206

Mailing address

4125 W Noble Ave
PMB 323
Visalia, CA 93277-1662
Phone (559) 734-3278

Other identifiers 1

IdentifierTypeStateIssuer
GR0072080MedicaidCA

National Provider Directory

National Provider Directory

Locations

100 Willow Plz
Ste 301
Visalia, CA 93291
Phone (559) 734-3278

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1902871841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4125 W NOBLE AVE",
            "address_2": "PMB 323",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932771662",
            "telephone_number": "559-734-3278",
            "fax_number": "503-627-5723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WILLOW PLZ",
            "address_2": "SUITE 301",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916206",
            "telephone_number": "559-734-3278",
            "fax_number": "503-627-5723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STARR-WOOD CARDIAC GROUP OF VISALIA MEDICAL CORPORATION, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "MAYER",
        "authorized_official_first_name": "FREDERICK",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "CARDIAC SERVICES",
        "authorized_official_telephone_number": "559-734-3278",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": "FNP23902",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0072080",
            "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 Jun 27, 2008; 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.