Unknown Individual – Family Medicine Physician, NPI 1104975788
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Loading map...
Provider Addresses for Unknown Individual
305, East Center Avenue, Visalia, Tulare County, California, 93291, United States
VISALIA, CA 932916331
Phone:
Type: Mailing
263, South W Street, Tulare County, California, 93257, United States
TULARE, CA 932743411
Phone: (877) 960-3426
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 93291)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | CA | |
| Family Practice | KY | |
| H O S P I T A L I S T | GA | |
| Family Practice | UT | |
| Family Practice | CA | |
| General Surgery | CA | |
| - | CA | |
| General Practice | CA | |
| General Surgery | CA | |
| Nurse Practitioner | CA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.