Healthcare Provider Details

I. General information

NPI: 1376447540
Provider Name (Legal Business Name): KAWEAH DELTA HEALTH CARE DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 W WILLOW AVE STE 402
VISALIA CA
93291-6238
US

IV. Provider business mailing address

400 W MINERAL KING AVE
VISALIA CA
93291-6237
US

V. Phone/Fax

Practice location:
  • Phone: 559-839-2220
  • Fax: 559-839-2780
Mailing address:
  • Phone: 559-624-2105
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: BENJAMIN CRIPPS
Title or Position: CHIEF COMPLIANCE & RISK OFFICER
Credential:
Phone: 559-624-5006