ABELLERA MEDICAL GROUP INC. NPI 1154588515

NPI Information

NPI: 1154588515
Provider Name: ABELLERA MEDICAL GROUP, INC.
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
2350 MCKEE RD STE 1
SAN JOSE, CA
ZIP 95116
Phone: (408) 272-0379
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ABELLERA MEDICAL GROUP, INC. is a primary care clinic center in San Jose, CA. ABELLERA MEDICAL GROUP, INC. NPI is 1154588515. The provider is registered as an organization entity type.

The provider's business location address is:

2350 MCKEE RD STE 1
SAN JOSE, CA
ZIP 95116-617
Phone: (408) 272-0379

The provider's authorized official is Nilda Agnes A Abellera .
The authorized official title is Ceo/president and has the following contact phone number (408) 272-0379.

The enumeration date for this NPI number is 5/21/2008 and was last updated on 7/22/2013.

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	261QP2300X	Clinic/Center	Primary Care	A35884	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	Other Provider Identifier Issuer
1	A035884	MEDICARE PIN	CALIFORNIA
2	05D0705196	OTHER	CALIFORNIA	CLIA
3	A27932	MEDICARE UPIN	CALIFORNIA

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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