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

Active since December 01, 2006
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: October 18, 2026.

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

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 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
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

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Visalia Family Practice Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

11

Medicare enrollment records show 11 clinicians reassign Medicare billing to Visalia Family Practice Medical Group, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 2

Family Practice9
Nurse Practitioner2

Clinicians, nearest first (11)

Family Practice
NPI 1790769768
107 N HALL ST
Visalia, CA 93291
(559) 625-9200
✔ PECOSSame address
Family Practice
NPI 1487006995
107 N HALL ST STE D
Visalia, CA 93291
(559) 625-9200
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1750916094
306 N CONYER ST STE A
Visalia, CA 93291
(559) 258-0726
✔ PECOS✔ Accepts Medicare0.5 mi
Family Practice
NPI 1801829411
419 W MURRAY AVE SUITE A
Visalia, CA 93291
(559) 732-6414
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1053383091
311 W NOBLE AVE
Visalia, CA 93277
(559) 625-9200
✔ PECOS✔ Accepts Medicare0.8 mi
Nurse Practitioner
NPI 1174927214
311 W NOBLE AVE SUITE 202
Visalia, CA 93277
(559) 625-9200
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1982688206
311 W NOBLE AVE
Visalia, CA 93277
(559) 625-9200
✔ PECOS0.8 mi
Family Practice
NPI 1730163064
311 W NOBLE AVE
Visalia, CA 93277
(559) 625-9200
✔ PECOS0.8 mi
Family Practice
NPI 1891779138
311 W NOBLE AVE
Visalia, CA 93277
(559) 625-9200
✔ PECOS✔ Accepts Medicare0.8 mi
Family Practice
NPI 1003847872
6585 CLARK RD SUITE 360
Paradise, CA 95969
(530) 877-8855
✔ PECOS268 mi
Family Practice
NPI 1215469226
3477 S MERCY RD STE 201
Gilbert, AZ 85297
(480) 728-6580
✔ PECOS✔ Accepts Medicare478 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Visalia Family Practice Medical Group enrolled in Medicare?

Yes. Visalia Family Practice Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Visalia Family Practice Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 2 Medicare specialties reassign their Medicare billing to Visalia Family Practice Medical Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Family Practice (9) and Nurse Practitioner (2). Of these, 2 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.