Healthcare Provider Details

I. General information

NPI: 1649104233
Provider Name (Legal Business Name): MR. AARON CALEB MACHICHE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1646 S COURT ST
VISALIA CA
93277-4962
US

IV. Provider business mailing address

1646 S COURT ST
VISALIA CA
93277-4962
US

V. Phone/Fax

Practice location:
  • Phone: 559-586-6767
  • Fax: 559-733-5053
Mailing address:
  • Phone: 559-586-6767
  • Fax: 559-733-5053

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number94-3303140
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: