SOUTHERN TULARE MEDICAL GROUP NPI 1295913358

Internal Medicine (Hematology & Oncology) in Porterville, CA

NPI 1295913358 Organization Internal Medicine Hematology & Oncology

About SOUTHERN TULARE MEDICAL GROUP

Southern Tulare Medical Group is an internal medicine provider established in Porterville, California specializing in internal medicine (hematology & oncology) . The NPI number of Southern Tulare Medical Group is 1295913358 and was assigned on January 2008. The practitioner's primary taxonomy code is 207RH0003X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Southern Tulare Medical Group operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Michael Attoh Md (Md)

An internist like Southern Tulare Medical Group is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

NPI

1295913358

Provider NameSOUTHERN TULARE MEDICAL GROUP
Provider Location Address465 W PUTNAM AVE PORTERVILLE, CA 93257
Provider Mailing AddressPO BOX 7096 STOCKTON, CA 95267
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date01-31-2008
Last Update Date01-31-2008


Primary Taxonomy

Taxonomy Code207RH0003X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationHematology & Oncology
Taxonomy DescriptionAn internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Business Address

SOUTHERN TULARE MEDICAL GROUP
465 W PUTNAM AVE
PORTERVILLE, CA
ZIP 93257
Phone: (559) 784-1110

Get Directions


Mailing Address

SOUTHERN TULARE MEDICAL GROUP
PO BOX 7096
STOCKTON, CA
ZIP 95267
Phone: (209) 956-7725
Fax: (209) 956-7733



Authorized Official

Authorized Official Name MICHAEL ATTOH MD
Authorized Official TitleMD
Authorized Official Phone(559) 784-1110

Group Taxonomy


193200000X MULTI-SPECIALTY GROUP - This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1208M00000XAllopathic & Osteopathic PhysiciansHospitalistNo

Taxonomy Description: hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
DA9463MEDICARE PIN (08)CA
ZZZ26964ZMEDICARE PIN (08)CA
ZZZ07552ZOTHER (01)CA
GR0095240MEDICAID (05)CA

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1588638399DR. JOSEPH IPE MD
Individual
Anesthesiology465 W PUTNAM AVE
PORTERVILLE, CA 93257
(559) 784-1110
1891755419MR. ENRIQUE TUESTA MD
Individual
Anesthesiology465 W PUTNAM AVE
PORTERVILLE, CA 93257
(559) 784-1110
1962458745MRS. JANET M BAILEY CRNA
Individual
Nurse Anesthetist, Certified Registered465 W PUTNAM AVE
PORTERVILLE, CA 93257
(559) 784-1110
1891721221MRS. BHAVNA KASHYAP MD
Individual
Pediatrics465 W PUTNAM AVE
PORTERVILLE, CA 93257
(559) 784-1110
1831100635 MARK A ELLER M.D.
Individual
Emergency Medicine465 W PUTNAM AVE
PORTERVILLE, CA 93257
(559) 784-1110
1790796571 REAGAN BRIAN BELLINGHAUSEN M.D.
Individual
Emergency Medicine465 W PUTNAM AVE
PORTERVILLE, CA 93257
(559) 784-1110
1750392536 DEWANE K BRUESKE M.D.
Individual
Emergency Medicine465 W PUTNAM AVE
PORTERVILLE, CA 93257
(559) 784-1110
1801807557 ERNEST W KAZATO M.D.
Individual
Emergency Medicine465 W PUTNAM AVE
PORTERVILLE, CA 93257
(559) 784-1110
1467463125 THOMAS A LUKASZCZYK M.D.
Individual
Emergency Medicine465 W PUTNAM AVE
PORTERVILLE, CA 93257
(559) 784-1110
1821009150 ANTHONY S MERINO P.A.-C
Individual
Physician Assistant465 W PUTNAM AVE
PORTERVILLE, CA 93257
(559) 784-1110
1710999594MS. MICHELE LOUISE BIALY CRNA
Individual
Nurse Anesthetist, Certified Registered465 W PUTNAM AVE
PORTERVILLE, CA 93257
(559) 784-1110
1033214986 DONALD JAMES CHRISTIAN P.A-C
Individual
Physician Assistant465 W PUTNAM AVE
PORTERVILLE, CA 93257
(559) 784-1110
1861574352DR. OWEN C KIM M.D.
Individual
Radiology (Therapeutic Radiology)465 W PUTNAM AVE
PORTERVILLE, CA 93257
(559) 788-6175
1730258120 ANINCHANA SANGKHARAT D.O.
Individual
Radiology (Diagnostic Radiology)465 W PUTNAM AVE
PORTERVILLE, CA 93257
(559) 784-1110
1184807976PORTERVILLE ONCOLOGY ASSOCIATES, INC.
Organization
Specialist465 W PUTNAM AVE
PORTERVILLE, CA 93257
(559) 784-1110
1356507826MR. ALLEN THOMAS SOTO PA-C
Individual
Physician Assistant465 W PUTNAM AVE
PORTERVILLE, CA 93257
(559) 784-1110
1043466550COMFORT ANESTHESIA ASSOCIATES INC
Organization
Anesthesiology465 W PUTNAM AVE
PORTERVILLE, CA 93257
(559) 784-1110
1699907840 ANSELMO SERNA CRNA
Individual
Nurse Anesthetist, Certified Registered465 W PUTNAM AVE
PORTERVILLE, CA 93257
(559) 784-1110
1780647750DR. KULDEEP SINGH JAGPAL M.D.
Individual
Anesthesiology465 W PUTNAM AVE
PORTERVILLE, CA 93257
(559) 784-1110
1962413203 DAVID H NGUYEN M.D.
Individual
Emergency Medicine465 W PUTNAM AVE
PORTERVILLE, CA 93257
(559) 784-1110

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.