ADVANCED CARE MEDICAL GROUP INC
NPI 1295114965
Family Medicine in Visalia, CA

Active since May 27, 2015CLIA 05D2105814 · Waiver
3130 W CALDWELL AVE, VISALIA, CA 93277(559) 635-7800 Get Directions Write a Review

NPPES record last updated: June 22, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 22, 2025, Apr 4, 2019, Nov 9, 2015 (3 updates tracked since 2015).

About Advanced Care Medical Group Inc NPPES

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

ADVANCED CARE MEDICAL GROUP INC (NPI 1295114965) is a healthcare organization registered as a family medicine in Visalia, California and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through December 2, 2027 and lists Shawn Cardoza, Owner, as its authorized official.

NPPES Registry Identity

NPI1295114965
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameADVANCED CARE MEDICAL GROUP INC
Location Address3130 W CALDWELL AVEVisalia, CA 93277-7063
Mailing AddressPo Box 7475Visalia, CA 93290-7475
Organization SubpartNo
Authorized OfficialShawn CardozaOwner · (559) 635-7800
Enumeration DateMay 27, 2015
Last NPPES UpdateJune 22, 20253 updates tracked since enumeration
NPPES CertifiedJune 22, 2025
✔ NPI 1295114965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G72459
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.
3130 W CALDWELL AVE, Visalia, CA 93277

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Care Medical Group Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

13

Medicare enrollment records show 13 clinicians reassign Medicare billing to Advanced Care Medical Group Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 9 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 3

Nurse Practitioner11
Diagnostic Radiology1
Physical Medicine and Rehabilitation1

Clinicians, nearest first (13)

Nurse Practitioner
NPI 1104937002
3130 W CALDWELL AVE.
Visalia, CA 93277
(559) 635-7800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1013603307
3130 W CALDWELL AVE
Visalia, CA 93277
(559) 635-7800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1851273528
3130 W CALDWELL AVE
Visalia, CA 93277
(559) 635-7800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1023725454
3130 W CALDWELL AVE
Visalia, CA 93277
(559) 635-7800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1386084481
215 E CALDWELL AVE
Visalia, CA 93277
(559) 622-9800
✔ PECOS2.1 mi
Nurse Practitioner
NPI 1588156236
1827 S COURT ST STE A
Visalia, CA 93277
(559) 372-7390
✔ PECOS✔ Accepts Medicare2.2 mi
Physical Medicine and Rehabilitation
NPI 1487898938
5127 W NOBLE AVE
Visalia, CA 93277
(559) 713-6515
✔ PECOS✔ Accepts Medicare2.3 mi
Nurse Practitioner
NPI 1609074772
1201 N CHERRY ST
Tulare, CA 93274
(559) 686-9097
✔ PECOS5.2 mi
Nurse Practitioner
NPI 1083238976
1775 MODOC AVE
Tulare, CA 93274
(559) 471-9294
✔ PECOS8.1 mi
Nurse Practitioner
NPI 1346786019
36650 ROAD 112
Visalia, CA 93291
(559) 735-1319
✔ PECOS✔ Accepts Medicare10 mi
Nurse Practitioner
NPI 1164512240
3580 E CALIFORNIA AVE BLDG B
Fresno, CA 93702
(559) 263-7555
✔ PECOS38 mi
Nurse Practitioner
NPI 1871705251
1551 BISHOP ST B240
San Luis Obispo, CA 93401
(805) 549-0402
✔ PECOS102 mi
Diagnostic Radiology
NPI 1679590319
1959 NE PACIFIC ST
Seattle, WA 98195
(206) 520-5000
✔ PECOS798 mi

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

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 05D2105814

Advanced Care Medical Group · Visalia, CA
Active · expires Dec 2, 2027
CLIA Number05D2105814
Laboratory TypePhysician Office
Certificate Effective DateDecember 3, 2025
Certificate Expiration DateDecember 2, 2027
Laboratory DirectorBrandon N. Sorensen
Laboratory Phone(559) 635-7800
Laboratory LocationAdvanced Care Medical Group3130 W Caldwell Ave, Visalia, CA 93277
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Advanced Care Medical Group Inc's NPI number?

The NPI number for Advanced Care Medical Group Inc is 1295114965. It was assigned to this organization in the NPPES registry on May 27, 2015.

Where is Advanced Care Medical Group Inc located?

Advanced Care Medical Group Inc is located at 3130 W Caldwell Ave, Visalia, CA 93277. The listed phone number is (559) 635-7800.

What is Advanced Care Medical Group Inc's specialty?

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

Is Advanced Care Medical Group Inc enrolled in Medicare?

Yes. Advanced Care Medical Group Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Care Medical Group Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 13 clinicians in 3 Medicare specialties reassign their Medicare billing to Advanced Care Medical Group Inc. 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 Nurse Practitioner (11), Diagnostic Radiology (1) and Physical Medicine and Rehabilitation (1). Of these, 4 practice at this address and 9 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Advanced Care Medical Group Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2105814) is associated with this NPI, valid through December 2, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Advanced Care Medical Group Inc was last updated on June 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.