1164427597 NPI number — DR. DAVID GORDON FEIL M.D.

Table of content: VANESSA VILLALPANDO (NPI 1083304349)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1164427597 NPI number — DR. DAVID GORDON FEIL M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
FEIL
Provider First Name:
DAVID
Provider Middle Name:
GORDON
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1164427597
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
112 N AKERS ST
Provider Second Line Business Mailing Address:
SUITE A
Provider Business Mailing Address City Name:
VISALIA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93291-5121
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
559-733-4372
Provider Business Mailing Address Fax Number:
559-733-1758

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
112 N AKERS ST
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
VISALIA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93291-5121
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
559-733-4372
Provider Business Practice Location Address Fax Number:
559-733-1758
Provider Enumeration Date:
06/13/2005

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207W00000X , with the licence number:  G15339 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207W00000X , with the licence number: 154949-1205 , registered in the state of UT ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1164427597 . This is a "NATIONAL PROVIDER INDENTIFIER" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1770527335 . This is a "VISALIA EYE CENTER MEDICAL GROUP (NPI)" identifier . This identifiers is of the category "OTHER".
  • Identifier: 3374896 . This is a "CIGNA PROVIDER ID#" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: GR0101220 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 018407-0003 . This is a "PACIFICARE PROVIDER ID#" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 5275841 . This is a "MULTIPLAN PROVIDER ID#" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 116595 . This is a "PRIVATE HEALTHCARE SYSTEM" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 73-1728125 . This is a "GROUP PRACTICE TAX ID#" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: ZZZ66317Z . This is a "BLUE SHIELD GROUP#" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 5511200001 . This is a "CIGNA DMERC PRVIDER ID#" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 00G153390 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: 10949634 . This is a "CAQH PROVIDER ID#" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 181660041 . This is a "RAILROAD MEDICARE PROV ID" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: G15339 . This is a "LICENSE NUMBER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 032631 . This is a "HEALTH NET PROVIDER ID#" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: DB0436 . This is a "RAILROAD MEDICARE GROUP#" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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