Organization Active NPI

Mosaic Ipa Medical Group, Inc.

  • Health Maintenance Organization
  • Visalia, CA
National Provider Identifier
1932261864
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
Legal business name
MOSAIC IPA MEDICAL GROUP, INC.
Practice address
3335 S Fairway St
Visalia, CA 93277-7781
Phone
(559) 735-3892
Fax
(559) 735-3894
NPI assigned
Dec 15, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Brandi L Guinn, MS
Title
Administrator of Managed Care
Phone
(559) 735-3892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X Primary

Addresses

Primary practice location

3335 S Fairway St
Visalia, CA 93277-7781

Mailing address

3335 S Fairway St
Visalia, CA 93277-7781
Phone (559) 735-3892

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932261864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3335 S FAIRWAY ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932777781",
            "telephone_number": "559-735-3892",
            "fax_number": "559-735-3894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 S FAIRWAY ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932777781",
            "telephone_number": "559-735-3892",
            "fax_number": "559-735-3894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOSAIC IPA MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GUINN",
        "authorized_official_first_name": "BRANDI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "ADMINISTRATOR OF MANAGED CARE",
        "authorized_official_telephone_number": "559-735-3892",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "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 Aug 22, 2020; 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.