Organization Active NPI

Optimal Medical Care Inc

  • Family Medicine Physician
  • Visalia, CA
National Provider Identifier
1972243640
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OPTIMAL MEDICAL CARE INC
Practice address
1860 S Central St Ste B
Visalia, CA 93277-4497
Phone
(559) 859-6705
NPI assigned
Mar 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Mr. Nourlie Ibuyat CarlosNPI 1588244164
Title
Treasurer
Phone
(559) 859-6705

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
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1860 S Central St Ste B
Visalia, CA 93277-4497

Mailing address

3320 W Glendale Ave
Visalia, CA 93291-6531
Phone (559) 859-6705

Other names 1

  • Optimal Medical Care Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20221026001882 CA Part B Supplier - Clinic/Group Practice 2062888415 Receives reassigned benefits from 2 practitioners
Practice locations: Visalia, CA

National Provider Directory

National Provider Directory

Locations

1860 S Central St
Ste B
Visalia, CA 93277
Phone (559) 390-0835

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1648684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1972243640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3320 W GLENDALE AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932916531",
            "telephone_number": "559-859-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 S CENTRAL ST STE B",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774497",
            "telephone_number": "559-859-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPTIMAL MEDICAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-31",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "CARLOS",
        "authorized_official_first_name": "NOURLIE",
        "authorized_official_middle_name": "IBUYAT",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "559-859-6705",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Medical Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Optimal Medical Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.