Healthcare Provider Details

I. General information

NPI: 1497404784
Provider Name (Legal Business Name): ENDYA JOY HAMILTON MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2022
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

585 N HALIFAX AVE STE 102
CLOVIS CA
93611-7276
US

IV. Provider business mailing address

585 N HALIFAX AVE STE 102
CLOVIS CA
93611-7276
US

V. Phone/Fax

Practice location:
  • Phone: 559-603-7415
  • Fax:
Mailing address:
  • Phone: 559-603-7415
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberA204081
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: