VISALIA FAMILY PRACTICE MEDICAL GROUP
NPI 1073681730
Family Medicine in Visalia, CA

Q: What is Visalia Family Practice Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since December 01, 2006CLIA 05D0585742 · Microscopy

107 N HALL ST STE D, VISALIA, CA 93291(559) 625-9200(559) 625-0665 Get Directions Write a Review

NPPES record last updated: January 5, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 5, 2023, Jul 21, 2022, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Visalia Family Practice Medical Group NPPES

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

VISALIA FAMILY PRACTICE MEDICAL GROUP (NPI 1073681730) is a healthcare organization registered as a family medicine in Visalia, California and active in the NPI registry since December 2006. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Breana Bergdorf, Administrator, as its authorized official.

NPPES Registry Identity

NPI1073681730

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameVISALIA FAMILY PRACTICE MEDICAL GROUP

Location Address107 N HALL ST STE DVisalia, CA 93291-5850

Mailing Address107 N Hall St Ste DVisalia, CA 93291-5850 · (559) 625-9200 · Fax (559) 625-0665

Phone(559) 625-9200

Fax(559) 625-0665

Organization SubpartNo

Authorized OfficialBreana BergdorfAdministrator · (559) 625-9200

Enumeration DateDecember 1, 2006

Last NPPES UpdateJanuary 5, 20234 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2023

✔ NPI 1073681730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

107 N HALL ST STE D, Visalia, CA 93291

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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) 05D0585742

Visalia Family Practice · Visalia, CA

Active · expires Aug 31, 2026

CLIA Number05D0585742

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorJohn C. Booker MD

Laboratory Phone(209) 625-9200

Laboratory LocationVisalia Family Practice107 N Hall St, Ste D, Visalia, CA 93291

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.

Other Providers at the Same Location NPPES

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

DR. ELENA VORONEJSKAIA M.D.

Family Medicine

107 N HALL ST STE D
VISALIA, CA 93291

Tulare County (559) 625-9200

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Visalia Family Practice Medical Group's NPI number?

The NPI number for Visalia Family Practice Medical Group is 1073681730. It was assigned to this organization in the NPPES registry on December 1, 2006.

Where is Visalia Family Practice Medical Group located?

Visalia Family Practice Medical Group is located at 107 N Hall St Ste D, Visalia, CA 93291. The listed phone number is (559) 625-9200.

What is Visalia Family Practice Medical Group's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Visalia Family Practice Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0585742) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Visalia Family Practice Medical Group was last updated on January 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.