KAWEAH HEALTH EXETER CLINIC
NPI 1043272172
Clinic/Center - Rural Health in Exeter, CA

Q: What is Kaweah Delta Health Care District's NPI number?

The NPI number for Kaweah Delta Health Care District is 1043272172. It was assigned to this organization in the NPPES registry on April 4, 2006. The provider is doing business as Kaweah Health Exeter Clinic.

Q: What is Kaweah Delta Health Care District's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since April 04, 2006CLIA 05D0929823 · Microscopy

1014 SAN JUAN AVE, EXETER, CA 93221(559) 624-2000(559) 713-2356 Get Directions Write a Review

NPPES record last updated: April 20, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2022, Apr 27, 2021, Oct 14, 2020 and 1 more (4 updates tracked since 2019).

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About Kaweah Health Exeter Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KAWEAH HEALTH EXETER CLINIC (NPI 1043272172) is a healthcare organization registered as a rural health in Exeter, California and active in the NPI registry since April 2006. The organization holds a CLIA Microscopy certificate valid through June 23, 2027 and lists Malinda Tupper, Srvp/chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1043272172

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameKAWEAH DELTA HEALTH CARE DISTRICT

Location Address1014 SAN JUAN AVEExeter, CA 93221-1312

Mailing Address400 W Mineral King AveVisalia, CA 93291-6237 · (559) 624-2739

Phone(559) 624-2000

Fax(559) 713-2356

Organization SubpartYes

Authorized OfficialMalinda TupperSrvp/chief Financial Officer · (559) 624-4065

Enumeration DateApril 4, 2006

Last NPPES UpdateApril 20, 20224 updates tracked since enumeration

NPPES CertifiedApril 20, 2022

✔ NPI 1043272172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

License✔ Licensed in CA · 120000580

Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X

Also ListedSupports BrokerageTaxonomy 251X00000X

1014 SAN JUAN AVE, Exeter, CA 93221

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Other Names 1

Doing Business AsKaweah Health Exeter Clinic

Other Identifiers 4

MedicaidRHM18508GCA

MedicaidHAP18508GCA

OtherZZZ54779ZCA · Blue Shield

MedicaidBCP18508GCA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0929823

Kaweah Health Exeter Clinic · Exeter, CA

Active · expires Jun 23, 2027

CLIA Number05D0929823

Laboratory TypeRural Health Clinic

Certificate Effective DateJune 24, 2025

Certificate Expiration DateJune 23, 2027

Laboratory DirectorDr. Juan C. Sabogal

Laboratory Phone(559) 471-9765

Laboratory LocationKaweah Health Exeter Clinic1014 San Juan Ave, Exeter, CA 93221

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALISIA D. LEE PA-C

Physician Assistant