NPIMap

Organization Active NPI

Tule River Indian Health Center, Inc.

  • Family Medicine Physician
  • Visalia, CA
National Provider Identifier
1992788723
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01185 Issued in CA
Legal business name
TULE RIVER INDIAN HEALTH CENTER, INC.
Practice address
306 N Conyer St
Visalia, CA 93291-4704
Phone
(559) 625-0844
Fax
(559) 625-1476
NPI assigned
Nov 25, 2005
Last updated
Aug 22, 2020By the provider in NPPES
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. Vida Khow
Title
Ceo
Phone
(559) 784-2316

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 01185 CA Primary

Addresses

Primary practice location

306 N Conyer St
Visalia, CA 93291-4704

Mailing address

PO Box 768
Porterville, CA 93258-0768
Phone (559) 784-2316

National Provider Directory

National Provider Directory
Tax ID family
Tule River Indian Health Center Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992788723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 768",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932580768",
            "telephone_number": "559-784-2316",
            "fax_number": "559-791-2533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 N CONYER ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932914704",
            "telephone_number": "559-625-0844",
            "fax_number": "559-625-1476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULE RIVER INDIAN HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHOW",
        "authorized_official_first_name": "VIDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-784-2316",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "01185",
            "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.