EILEEN P PRIMERO MD
NPI 1235195181
Pediatrics in Stockton, CA

Q: What is Eileen Primero's NPI number?

The NPI number for Eileen Primero is 1235195181. It was assigned to this individual provider in the NPPES registry on April 20, 2006.

Q: What is Eileen Primero's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Eileen Primero was last updated on June 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 20, 2006PECOS Enrolled

2505 W HAMMER LN, STOCKTON, CA 95209(209) 957-7050 Get Directions Write a Review

NPPES record last updated: June 17, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Eileen P Primero Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EILEEN P PRIMERO MD (NPI 1235195181) is an individual pediatrics provider in Stockton, California, licensed in California (C50284) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235195181

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameEILEEN P PRIMEROCredential: MD

Location Address2505 W HAMMER LNStockton, CA 95209-2839

Mailing Address600 Coffee RdModesto, CA 95355-4201 · (209) 524-1211

Phone(209) 957-7050

Sole ProprietorNo

Enumeration DateApril 20, 2006

Last NPPES UpdateJune 17, 2010

✔ NPI 1235195181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · C50284

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

2505 W HAMMER LN, Stockton, CA 95209

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Other Identifiers 2

Medicaid00C502840CA

Medicare UPING32617CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eileen P Primero Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95209 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JENNIFER JOSE

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