NPI Code Details Logo

NPI 1922920776

NPI 1922920776 : ZANA HEALTH PHYSICIAN ASSISTANT CORPORATION : VISALIA, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1922920776
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ZANA HEALTH PHYSICIAN ASSISTANT CORPORATION 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/25/2026
-----------------------------------------------------
    Last Update Date     |    08/09/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    119 S CHURCH ST 
-----------------------------------------------------
    City                 |    VISALIA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    93291-6310
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    559-743-4711
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    310 E MONTE VISTA AVE 
-----------------------------------------------------
    City                 |    VISALIA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    93277-7673
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    559-743-4711
-----------------------------------------------------
    Fax                  |    949-841-4231
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    PRESIDENT
-----------------------------------------------------
    Name                 |     VANESSA AMANDA BANALES 
-----------------------------------------------------
    Credential           |    PA-C
-----------------------------------------------------
    Telephone            |    559-743-4711
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.