Healthcare Provider Details

I. General information

NPI: 1053338707
Provider Name (Legal Business Name): H. JAMES PRINCETON, M.D., A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4025 W CALDWELL AVE SUITE A
VISALIA CA
93277-9224
US

IV. Provider business mailing address

4025 W CALDWELL AVE STE A
VISALIA CA
93277-9224
US

V. Phone/Fax

Practice location:
  • Phone: 559-625-6080
  • Fax: 559-625-6024
Mailing address:
  • Phone: 559-625-6080
  • Fax: 559-625-6024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084B0040X
TaxonomyBehavioral Neurology & Neuropsychiatry Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA40100
License Number StateCA

VIII. Authorized Official

Name: MANDEEP SINGH BAGGA
Title or Position: CEO
Credential:
Phone: 989-714-2110