Healthcare Provider Details

I. General information

NPI: 1609124692
Provider Name (Legal Business Name): ERICK MADRIGAL, MD, MBA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/22/2012
Last Update Date: 10/14/2025
Certification Date: 10/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

222 W HENDERSON AVE
PORTERVILLE CA
93257-1731
US

IV. Provider business mailing address

222 W HENDERSON AVE
PORTERVILLE CA
93257-1731
US

V. Phone/Fax

Practice location:
  • Phone: 559-784-5483
  • Fax:
Mailing address:
  • Phone: 559-784-5483
  • Fax: 559-784-5433

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name: BRANDY LEYVA
Title or Position: CLINIC MANAGER
Credential:
Phone: 559-719-8108