KAWEAH HEALTH WOODLAKE CLINIC
NPI 1154614097
Clinic/Center - Rural Health in Woodlake, CA

Active since May 25, 2011CLIA 05D2036144 · Waiver
180 E ANTELOPE AVE, WOODLAKE, CA 93286(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: July 19, 2026.

Record update history: Apr 20, 2022, Jun 17, 2021, Oct 14, 2020 and 1 more (4 updates tracked since 2019).

About Kaweah Health Woodlake Clinic NPPES

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

KAWEAH HEALTH WOODLAKE CLINIC (NPI 1154614097) is a healthcare organization registered as a rural health in Woodlake, California and active in the NPI registry since May 2011. The organization holds a CLIA Waiver certificate valid through January 31, 2028 and lists Malinda Tupper, Srvp/chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1154614097
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameKAWEAH DELTA HEALTH CARE DISTRICT
Location Address180 E ANTELOPE AVEWoodlake, CA 93286-1506
Mailing Address400 W Mineral King AveVisalia, CA 93291-6237 · (559) 624-2739
Fax(559) 713-2356
Organization SubpartYes
Authorized OfficialMalinda TupperSrvp/chief Financial Officer · (559) 624-4065
Enumeration DateMay 25, 2011
Last NPPES UpdateApril 20, 20224 updates tracked since enumeration
NPPES CertifiedApril 20, 2022
NPI 1154614097 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
180 E ANTELOPE AVE, Woodlake, CA 93286

Other Names 1

Doing Business AsKaweah Health Woodlake Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 of Waiver 05D2036144

Kaweah Health Woodlake Clinic · Woodlake, CA
Active · expires Jan 31, 2028
CLIA Number05D2036144
Laboratory TypeRural Health Clinic
Certificate Effective DateFebruary 1, 2026
Certificate Expiration DateJanuary 31, 2028
Laboratory DirectorDavid S. Hewitt MD
Laboratory Phone(559) 471-9765
Laboratory LocationKaweah Health Woodlake Clinic180 E. Antelope Ave., Woodlake, CA 93286
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
180 E ANTELOPE AVE
WOODLAKE, CA 93286
Internal Medicine
180 E ANTELOPE AVE
WOODLAKE, CA 93286
Clinic/Center (Rural Health)
180 E ANTELOPE AVE
WOODLAKE, CA 93286
Physician Assistant
180 E ANTELOPE AVE
WOODLAKE, CA 93286
Social Worker (Clinical)
180 E ANTELOPE AVE
WOODLAKE, CA 93286

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 Kaweah Delta Health Care District's NPI number?

The NPI number for Kaweah Delta Health Care District is 1154614097. It was assigned to this organization in the NPPES registry on May 25, 2011.

Where is Kaweah Delta Health Care District located?

Kaweah Delta Health Care District is located at 180 E Antelope Ave, Woodlake, CA 93286. The listed phone number is (559) 624-2000.

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.

Does Kaweah Delta Health Care District hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2036144) is associated with this NPI, valid through January 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Kaweah Delta Health Care District was last updated on April 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.