Healthcare Provider Details

I. General information

NPI: 1093115735
Provider Name (Legal Business Name): IQ SURGICAL ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2014
Last Update Date: 02/25/2026
Certification Date: 02/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 N HALL ST STE A
VISALIA CA
93291-5850
US

IV. Provider business mailing address

107 N HALL ST STE A
VISALIA CA
93291-5850
US

V. Phone/Fax

Practice location:
  • Phone: 559-302-5600
  • Fax:
Mailing address:
  • Phone: 559-302-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2086S0127X
TaxonomyTrauma Surgery Physician
License Number
License Number State

VIII. Authorized Official

Name: SEBASTIANO CASSARO
Title or Position: CFO/SECRETARY
Credential: MD
Phone: 559-302-5600