SAN JOAQUIN PRIME CARE MEDICAL GROUP INC. NPI 1710172721

NPI Information

NPI: 1710172721
Provider Name: SAN JOAQUIN PRIME CARE MEDICAL GROUP INC.
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
826 E MANNING AVE
REEDLEY, CA
ZIP 93654
Phone: (559) 638-0400
Get Directions

SAN JOAQUIN PRIME CARE MEDICAL GROUP INC. is a family medicine in Reedley, 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 1710172721. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

826 E MANNING AVE
REEDLEY, CA
ZIP 93654-232
Phone: (559) 638-0400
Fax: (559) 638-0403

The provider's authorized official is Kimberly 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 9/12/2007 and was last updated on 4/24/2015.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		A43893	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	RHM53947F	MEDICAID	CALIFORNIA
2	GR0084784	MEDICAID	CALIFORNIA
3	ZZZ15839Z	MEDICARE PIN	CALIFORNIA
4	553947	MEDICARE OSCAR/CERTIFICATION

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

NPI Synchronization or Removal

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