ZIP code
93291
in Visalia, CaliforniaPopulation 63,568
48.71/ 100
Ranked #18,066 of 32,066 US ZIPs (bottom 44%)
Ranked #1,159 of 1,719 California ZIPs (bottom 33%)
Ranked #4 of 31 Visalia, CA ZIPs (top 13.0%)
Ranks are modeled estimates — ZIPs a few hundred places apart are effectively tied.
What defines this ZIP
Metrics where this ZIP sits in the tails of the national distribution — the ones that most set it apart. Select any tile for its definition and methodology.
Fine-particle (PM2.5) exceedance
10.5%
in the top 0.03% nationally
Lower is healthier
ST99thUS99thDefinition & source ›
The share of days in the year when modeled fine-particle (PM2.5) pollution was above the EPA’s daily limit of 35 micrograms per cubic meter.
Full methodology ›Dry extreme heat
115 days/year
in the top 0.9% nationally
Lower is healthier
ST97thUS99thDefinition & source ›
The average number of days per year with a modeled daily high of at least 95 °F.
Full methodology ›Outer-floodplain exposure
51.4%
in the top 0.9% nationally
Lower is healthier
ST97thUS99thDefinition & source ›
The share of this ZIP’s land area inside FEMA’s 0.2%-annual-chance flood band — the “500-year” zone, a lower but real 1-in-500 yearly chance.
Measured from FEMA’s mapped flood panels. Where a panel has not been mapped, no value is published for that ZIP — those ZIPs are absent from this comparison rather than counted as unexposed.
Full methodology ›Nitrate in drinking water
40.8%
in the top 1.2% nationally
Lower is healthier
ST95thUS99thDefinition & source ›
The modeled share of this area’s domestic-well groundwater at or above the federal nitrate limit of 10 milligrams per liter.
A modeled likelihood for untreated groundwater, the source drawn on by private wells, which are federally unregulated. It is not a measurement of treated water delivered by a public system, and it is not a test of any individual well.
Full methodology ›Air-toxics cancer risk
41.5 per million
in the top 1.9% nationally
Lower is healthier
ST87thUS98thDefinition & source ›
The EPA’s modeled estimate of added lifetime cancer risk from breathing outdoor air toxics, in cases per million people exposed over a lifetime.
Full methodology ›Colon-cancer screening
55.1%
in the bottom 5.0% nationally
Higher is healthier
ST22ndUS5thDefinition & source ›
The estimated share of adults aged 45–75 who are up to date on colorectal-cancer screening.
Full methodology ›Tree cover
0.00%
at the national minimum
Higher is healthier
ST1stUS1stDefinition & source ›
The share of this ZIP’s land area covered by forest.
Full methodology ›Crowded housing
7.3%
in the top 8.0% nationally
Lower is healthier
ST65thUS92ndDefinition & source ›
The share of occupied homes with more than one person per room, the Census definition of crowded housing.
Full methodology ›High blood pressure
28.1%
in the bottom 6.3% nationally
Lower is healthier
ST18thUS6thDefinition & source ›
The estimated share of adults who have been told by a health professional that they have high blood pressure.
Full methodology ›Subsidized affordable housing
290 units
in the top 8.5% nationally
Higher is healthier
ST79thUS92ndDefinition & source ›
The number of affordable rental units in this ZIP supported by the federal Low-Income Housing Tax Credit program.
Full methodology ›The read
In its overall standing, ZIP 93291, one of several in Visalia, California lands in the bottom 44% nationally (18,066th) and the bottom 33% of California (1,159th).
Reading across the data, the real pressures come first: modeled fine-particle sits in the top 0.03% nationally, modeled extreme heat lands in the top 0.9% nationally, and outer-floodplain exposure lies in the top 0.9% nationally. Modeled nitrate stands in the top 1.2% nationally, air-toxics cancer risk rests in the top 1.9% nationally, and colon screening registers in the bottom 5.0% nationally. Modeled tree cover resides at the national minimum, and crowded housing settles in the top 8.0% nationally. More encouragingly, distance to an emergency room is at the national minimum, shared with about 11% of ZIPs. Modeled high blood pressure sits in the bottom 6.3% nationally.
Against the wider neighborhood, outer-floodplain exposure runs far higher than the surrounding ZIPs on this measure. Put simply, fine-particle is fine airborne particles about one-thirtieth the width of a hair, counted on modeled days above the EPA standard. Nitrate is a groundwater compound from fertilizer, manure, and sewage, here a modeled estimate of the chance private-well levels exceed a benchmark. Air-toxics cancer risk is a modeled EPA estimate of added lifetime cancer risk from breathing outdoor air, per million people. On the overall standing, ZIP 93603, about 11 miles away, ranks healthier.
What’s driving this score
Nine domains make up the ZipVitals Score — here is how this ZIP does on each, and how much each one counts. Compare it against the US, this state and the Visalia, CA metro area.
Compared with the ZIP codes measured across all nine scoring domains — not with all US ZIP codes.
Lifting this score
Chronic Disease Burden
healthier than 92%
21%
Risk Behavior
healthier than 61%
11%
Healthcare Access
in the top 0.00%
5%
About typical
Mental Health
healthier than 48%
8%
Disability
healthier than 52%
7%
Holding it back
Social Need / SDOH
healthier than 28%
16%
Environmental Hazard
healthier than 3%
14%
Preventive Care
healthier than 6%
13%
Climate / Disaster Risk
healthier than 5%
5%
Lifting this score
Chronic Disease Burden
healthier than 75%
21%
Healthcare Access
in the top 0.00%
5%
About typical
Disability
healthier than 50%
7%
Holding it back
Social Need / SDOH
healthier than 32%
16%
Environmental Hazard
healthier than 16%
14%
Preventive Care
healthier than 20%
13%
Risk Behavior
healthier than 36%
11%
Mental Health
healthier than 40%
8%
Climate / Disaster Risk
healthier than 5%
5%
Lifting this score
Chronic Disease Burden
in the top 0.00%
21%
Social Need / SDOH
healthier than 77%
16%
Preventive Care
healthier than 67%
13%
Risk Behavior
healthier than 73%
11%
Mental Health
healthier than 77%
8%
Disability
healthier than 93%
7%
Healthcare Access
in the top 0.00%
5%
About typical
Environmental Hazard
healthier than 47%
14%
Holding it back
Climate / Disaster Risk
healthier than 7%
5%
“Share” is how much of this ZIP’s score the domain accounts for. Percentages are rounded; higher is healthier in every domain. How the score works, and who it compares you with ›
Findings that name this ZIP
2 of our published findings list this ZIP code. Each finding compares one published measure against a stated benchmark, and names only the ZIP codes whose estimates are reliable enough to rank. See all surprising findings.
Heavy environment, light chronic burden
Where the environment and chronic illness point in opposite directions
Environmental-hazard standing 3.3 (bottom 10%); chronic-disease standing 91.6 (top 10%) — 88 points apart, heavier on the environment than it is on chronic illness.
Ranked #17,772 of the 18,187 ZIP codes this finding names, ordered by the gap from cleanest environment to heaviest chronic burden, highest first.
Highest-risk tenth
Air toxics and the years between the two ends of the risk scale
Modeled air-toxics cancer risk is 41.5 cases per million — among the tenth of compared ZIP codes with the most. Estimated life expectancy is 79.7 ± 1.5 years.
Ranked #372 of the 4,173 ZIP codes this finding names, ordered by modeled air-toxics risk, highest first.
Nearby & similar ZIPs
Editorially selected — see how this ZIP compares to nearby and similar places.
Nearby
93230
Californiashares a border
Score 44.27
Closest healthier
93603
Californiaabout 11 mi away
Score 52.06
Similar health profile
93313
California99% similar profile
Score 48.38
How these were chosen: only ZIPs with a published Score appear — a nearby ZIP with too little data to score won’t. Nearby means closest by distance between ZIP boundaries, which can cross state lines. A similar health profile is a close match across the nine Score domains, not similar demographics. Distances are measured between ZIP boundaries — ZIPs that touch share a border. How distance is measured
Evidence
Every measure this page draws on, by source. Collapsed by default — the full data stays in the page for search engines either way.
Health OutcomesCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Arthritis among adults | 18.2% | 15.9–20.7 |
| High blood pressure among adults | 28.1% | 24.7–31.7 |
| Cancer (non-skin) or melanoma among adults | 5.3% | 4.8–5.9 |
| Current asthma among adults | 9.7% | 8.6–11.0 |
| Coronary heart disease among adults | 5.0% | 4.5–5.5 |
| Chronic obstructive pulmonary disease among adults | 4.8% | 4.2–5.3 |
| Depression among adults | 21.8% | 18.6–25.4 |
| Diagnosed diabetes among adults | 10.9% | 9.4–12.4 |
| High cholesterol among adults who have ever been screened | 32.4% | 28.6–36.6 |
| Obesity among adults | 32.1% | 25.8–39.1 |
| Stroke among adults | 2.8% | 2.6–3.0 |
| All teeth lost among adults aged >=65 years | 11.4% | 9.3–13.8 |
PreventionCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Current lack of health insurance among adults aged 18-64 years | 14.9% | 13.1–16.9 |
| Taking medicine to control high blood pressure among adults with high blood pressure | 66.7% | 63.2–70.1 |
| Visits to doctor for routine checkup within the past year among adults | 67.8% | 63.5–72.1 |
| Cholesterol screening among adults | 82.8% | 80.7–84.7 |
| Colorectal cancer screening among adults aged 45–75 years | 55.1% | 50.1–60.1 |
| Visited dentist or dental clinic in the past year among adults | 59.7% | 56.3–63.0 |
| Mammography use among women aged 50-74 years | 74.3% | 66.8–81.1 |
Health Risk BehaviorsCDC PLACES 2022 / 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Binge drinking among adults | 17.3% | 14.3–20.7 |
| Current cigarette smoking among adults | 11.9% | 10.2–13.6 |
| No leisure-time physical activity among adults | 27.5% | 23.6–31.7 |
| Short sleep duration among adults | 33.4% | 27.9–39.5 |
Health StatusCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Fair or poor self-rated health status among adults | 24.1% | 21.4–26.8 |
| Frequent mental distress among adults | 17.9% | 15.9–20.0 |
| Frequent physical distress among adults | 14.1% | 12.5–15.8 |
DisabilityCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Cognitive disability among adults | 16.5% | 14.7–18.3 |
| Any disability among adults | 31.3% | 27.4–35.2 |
| Hearing disability among adults | 5.5% | 4.9–6.2 |
| Independent living disability among adults | 8.7% | 7.8–9.6 |
| Mobility disability among adults | 13.5% | 11.8–15.2 |
| Self-care disability among adults | 4.1% | 3.8–4.5 |
| Vision disability among adults | 6.5% | 5.9–7.0 |
Health-Related Social NeedsCDC PLACES 2023 · BRFSS
| Measure | Crude prevalence | 95% CI |
|---|---|---|
| Lack of social and emotional support among adults | 28.0% | 24.6–31.8 |
| Food insecurity in the past 12 months among adults | 22.0% | 19.4–24.6 |
| Received food stamps in the past 12 months among adults | 19.5% | 17.3–21.8 |
| Housing insecurity in the past 12 months among adults | 18.7% | 16.5–21.0 |
| Lack of reliable transportation in the past 12 months among adults | 11.4% | 10.2–12.7 |
| Loneliness among adults | 36.1% | 31.4–41.0 |
| Utility services shut-off threat in the past 12 months among adults | 9.4% | 8.3–10.6 |
Community & economyCensus ACS 5-Year · 2024 release · observed
| Measure | Value | US median (p10–p90) | CA median (p10–p90) |
|---|---|---|---|
| Poverty rate | 13.8% | 10.6% (3.1–25.8%) n=32,364 | 10.6% (4.1–24.9%) n=1,714 |
| Uninsured 18–64 | 11.6% | 9.0% (1.5–24.3%) n=32,286 | 7.7% (1.7–17.9%) n=1,704 |
| No HS diploma (25+) | 17.8% | 7.9% (1.8–20.7%) n=32,505 | 9.8% (1.4–30.9%) n=1,729 |
| Bachelor's or higher (25+) | 25.1% | 23.3% (9.2–53.6%) n=32,505 | 31.3% (9.9–68.2%) n=1,729 |
| Unemployment rate (16+) | 7.0% | 3.9% (0.0–9.8%) n=32,274 | 6.1% (0.8–12.0%) n=1,714 |
| Households without a vehicle | 3.1% | 3.9% (0.0–12.5%) n=32,322 | 4.5% (0.0–12.2%) n=1,708 |
| Broadband subscription | 92.7% | 89.3% (75.1–97.1%) n=32,322 | 93.4% (82.1–98.4%) n=1,708 |
| Housing cost burden (≥30% income) | 32.4% | 23.7% (10.6–40.0%) n=32,322 | 38.6% (24.4–50.5%) n=1,708 |
| Homeownership rate | 62.1% | 78.7% (51.7–94.0%) n=32,322 | 64.1% (31.9–86.4%) n=1,708 |
| Crowded housing (>1 per room) | 7.3% | 1.3% (0.0–6.3%) n=32,322 | 4.8% (0.0–15.9%) n=1,708 |
| Foreign-born population | 17.4% | 2.6% (0.0–18.6%) n=32,553 | 18.9% (3.0–40.4%) n=1,730 |
| Single-parent households | 36.1% | 53.6% (37.3–74.1%) n=32,087 | 48.4% (35.1–72.3%) n=1,692 |
| Population 65+ | 11.1% | 19.4% (10.8–33.6%) n=32,553 | 17.0% (9.7–35.7%) n=1,730 |
| Median age | 33.0 yr | 42.2 yr (33.0–56.3) n=32,292 | 40.1 yr (31.8–57.0) n=1,712 |
| Median household income | $82,610 | $72,070 ($46,039–$118,707) n=30,318 | $93,448 ($54,188–$159,562) n=1,584 |
| Median home value | $409,800 | $222,200 ($100,300–$579,820) n=30,049 | $659,800 ($300,520–$1,493,340) n=1,593 |
| Median gross rent | $1,477 | $1,021 ($677–$1,912) n=25,670 | $1,912 ($1,113–$2,923) n=1,461 |
Life expectancyNCHS / RWJF USALEEP · model-based
| Measure | Value | US median (p10–p90) | CA median (p10–p90) |
|---|---|---|---|
| Life expectancy at birth | 79.6 yr ± 0.74 | 78.9 yr (74.7–82.8) n=31,308 | 80.5 yr (76.7–83.8) n=1,665 |
About the ± — it’s this estimate’s give-or-take (statisticians call it the standard error). The true life expectancy for this ZIP most likely falls within 0.74 years of 79.6, and it’s very unlikely to be off by more than twice that.
More ZIPs to explore ▾More ZIPs to explore ▴
How these lists were built: they draw only from ZIPs that have a published Score, so ZIPs with too little data to score are not listed. Distance-based lists use distance between ZIP boundaries with no state filter, so an out-of-state ZIP can appear. Statistically similar means a close match across the nine Score domains, not a demographic match: the measure is the cosine similarity between two ZIPs’ domain scores, taken over the domains both ZIPs have data for and only where that overlap covers at least six of the nine — and where no ZIP clears that minimum-overlap floor, that list is left out rather than filled with a weak match. How distance is measured