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SAN JOAQUIN PRIME CARE MEDICAL GROUP INC
NPI 1265580500
Family Medicine in Exeter, CA

Active since January 05, 2007
330 E PINE ST, EXETER, CA 93221(559) 592-2134(559) 592-5017 Get Directions Write a Review

NPPES record last updated: April 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About San Joaquin Prime Care Medical Group Inc NPPES

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

SAN JOAQUIN PRIME CARE MEDICAL GROUP INC (NPI 1265580500) is a healthcare organization registered as a family medicine in Exeter, California and active in the NPI registry since January 2007. The organization lists Rita Nye, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1265580500
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSAN JOAQUIN PRIME CARE MEDICAL GROUP INC
Location Address330 E PINE STExeter, CA 93221-1838
Mailing Address330 E Pine StExeter, CA 93221-1838 · (559) 592-2134 · Fax (559) 592-5017
Phone(559) 592-2134
Fax(559) 592-5017
Organization SubpartNo
Authorized OfficialRita NyeBilling Supervisor · (559) 783-1181
Enumeration DateJanuary 5, 2007
Last NPPES UpdateApril 24, 2015
✔ NPI 1265580500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A43893
Definition
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.
330 E PINE ST, Exeter, CA 93221
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Other Identifiers 4

MedicaidRHM53822FCA
Medicare OSCAR/certification553822
Medicare PINZZZ15838ZCA
MedicaidGR0084780CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

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

STEFAN I PENTSCHEV M.D.
Family Medicine
330 E PINE ST
EXETER, CA 93221
Tulare County (559) 592-2134
SIMRANPREET KAUR
Nurse Practitioner
330 E PINE ST
EXETER, CA 93221
Tulare County (559) 567-7071
MRS. KOURTNEY UMPHFRES PA-C
Physician Assistant
330 E PINE ST
EXETER, CA 93221
Tulare County (559) 592-2134
FAMILY HEALTHCARE NETWORK
Clinic/Center (Federally Qualified Health Center (FQHC))
330 E PINE ST
EXETER, CA 93221
Tulare County (559) 737-4700
MARIA XIMENA SIMONUVIC MD
Pediatrics
330 E PINE ST
EXETER, CA 93221
Tulare County (559) 592-2134
SHEILA SCHEINESSON PA-C
Physician Assistant
330 E PINE ST
EXETER, CA 93221
Tulare County (559) 592-2134
LESLEE HEUER NP
Nurse Practitioner
330 E PINE ST
EXETER, CA 93221
Tulare County (559) 592-2134
TOREY SUE IVANIC PA-C
Physician Assistant
330 E PINE ST
EXETER, CA 93221
Tulare County (559) 592-2134

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is San Joaquin Prime Care Medical Group Inc's NPI number?

The NPI number for San Joaquin Prime Care Medical Group Inc is 1265580500. It was assigned to this organization in the NPPES registry on January 5, 2007.

Where is San Joaquin Prime Care Medical Group Inc located?

San Joaquin Prime Care Medical Group Inc is located at 330 E Pine St, Exeter, CA 93221. The listed phone number is (559) 592-2134.

What is San Joaquin Prime Care Medical Group Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for San Joaquin Prime Care Medical Group Inc was last updated on April 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.