KAWEAH HEALTH MEDICAL CLINIC - WILLOW
NPI 1740688894
Clinic/Center - Multi-Specialty in Visalia, CA

NPI Status: Active since December 05, 2014

Contact Information

202 W WILLOW AVE STE 502
VISALIA, CA
ZIP 93291
Phone: (559) 624-4820

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  • Organization
  • Clinic/Center
  • Multi-Specialty
  • CLIA Number: 05D2084514
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-21-2026

About KAWEAH HEALTH MEDICAL CLINIC - WILLOW

This page provides the complete NPI Profile along with additional information for Kaweah Health Medical Clinic - Willow, a provider established in Visalia, California operating as a Clinic/center, focusing in multi-specialty . The healthcare provider is registered in the NPI registry with number 1740688894 assigned on December 2014. The practitioner's primary taxonomy code is 261QM1300X. The provider is registered as an organization and their NPI record was last updated 2 years ago. Kaweah Health Medical Clinic - Willow operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Kaweah Health Medical Clinic - Willow. The authorized official of this NPI record is Malinda Tupper (Srvp, Cfo)

NPI
1740688894
Provider Legal Name
KAWEAH DELTA HEALTH CARE DISTRICT
Other Organization Name
KAWEAH HEALTH MEDICAL CLINIC - WILLOW
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
202 W WILLOW AVE STE 502 VISALIA, CA 93291
Location Phone
(559) 624-4820
Mailing Address
400 W MINERAL KING AVE VISALIA, CA 93291
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-05-2014
Last Update Date
08-14-2024
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Multi-Specialty

Taxonomy Code
261QM1300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1171M00000XOther Service Providers

Case Manager/Care Coordinator

 
2251X00000XAgencies

Supports Brokerage

 
3261QP2300XAmbulatory Health Care Facilities

Clinic/Center
Primary Care

120000580 (CA)

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MALINDA TUPPER

Authorized Official Title
SRVP, CFO
Authorized Official Phone
(559) 624-4065

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2084514
Facility Type
Physician Office
Certificate Effective Date
April 22, 2024
Certificate Expiration Date
April 21, 2026
Laboratory Director
DR. DAVID S. HEWITT
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kaweah Health Medical Clinic - Willow to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1740688894, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 76. The final step is to find the difference between that total and the next multiple of ten (80 - 76 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
4
Doubled → 8
Pos 4
0
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
8
Doubled → 16 → 1 + 6
Pos 8
8
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 6 → 12 → 3 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 8 + 0 + 1 + 2 + 8 + 1 + 6 + 8 + 1 + 8 + 24 = 76

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 76 is 80. The difference is the calculated check digit.

80 - 76 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1740688894.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Pharmacist (Ambulatory Care)
202 W WILLOW AVE STE 502
VISALIA, CA 93291
Clinic/Center (Federally Qualified Health Center (FQHC))
202 W WILLOW AVE STE 502
VISALIA, CA 93291

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740688894, enumerated as an "organization" on December 05, 2014.

The provider is located at 202 W WILLOW AVE STE 502 VISALIA, CA 93291 and the phone number is (559) 624-4820.

Clinic/Center with taxonomy code 261QM1300X and a focus in Multi-Specialty.