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SAN JOAQUIN PRIME CARE MEDICAL GROUP INC NPI 1487848131


NPI Information

NPI: 1487848131
Provider Name: SAN JOAQUIN PRIME CARE MEDICAL GROUP INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
682 E VISALIA RD
FARMERSVILLE, CA
ZIP 93223
Phone: (559) 594-4564
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SAN JOAQUIN PRIME CARE MEDICAL GROUP INC is a family medicine in Farmersville, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. SAN JOAQUIN PRIME CARE MEDICAL GROUP INC NPI is 1487848131. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

682 E VISALIA RD
FARMERSVILLE, CA
ZIP 93223-641
Phone: (559) 594-4564
Fax: (559) 594-4564

The provider's authorized official is Kim Burgins .
The authorized official title is Billing Supervisor and has the following contact phone number (559) 783-1181.

The enumeration date for this NPI number is 9/5/2007 and was last updated on 4/27/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineA43893CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1RHM53939FMEDICAIDCALIFORNIA
2GR0084781MEDICAIDCALIFORNIA
3553939MEDICARE OSCAR/CERTIFICATION
4ZZZ15836ZMEDICARE PINCALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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