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PHYSICIANS MEDICAL GROUP OF SAN JOSE INC. NPI 1891175444


NPI Information

NPI: 1891175444
Provider Name: PHYSICIANS MEDICAL GROUP OF SAN JOSE, INC.

Doing Business As: PHYSICIANS MEDICAL URGENT CARE, INC.

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 05D2136284

Address:
1910 N CAPITOL AVE
SAN JOSE, CA
ZIP 95132
Phone: (888) 265-2120
Get Directions

PHYSICIANS MEDICAL GROUP OF SAN JOSE, INC. is an urgent care clinic center in San Jose, CA. PHYSICIANS MEDICAL GROUP OF SAN JOSE, INC. NPI is 1891175444. The provider is registered as an organization entity type.
The provider Is Doing Business As Physicians Medical Urgent Care, Inc..

The provider's business location address is:

1910 N CAPITOL AVE
SAN JOSE, CA
ZIP 95132-019
Phone: (888) 265-2120

The provider's authorized official is Peter Goll .
The authorized official title is Ceo and has the following contact phone number (408) 937-3601.

The CLIA number assigned to this NPI record is 05D2136284 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/8/2015 and was last updated on 5/10/2017.


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
1261QU0200XClinic/CenterUrgent CareYes

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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