Healthcare Provider Details

I. General information

NPI: 1922920776
Provider Name (Legal Business Name): ZANA HEALTH PHYSICIAN ASSISTANT CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2026
Last Update Date: 08/09/2026
Certification Date: 08/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

119 S CHURCH ST
VISALIA CA
93291-6310
US

IV. Provider business mailing address

310 E MONTE VISTA AVE
VISALIA CA
93277-7673
US

V. Phone/Fax

Practice location:
  • Phone: 559-743-4711
  • Fax:
Mailing address:
  • Phone: 559-743-4711
  • Fax: 949-841-4231

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: VANESSA AMANDA BANALES
Title or Position: PRESIDENT
Credential: PA-C
Phone: 559-743-4711