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SERES PRIME HEALTHCARE
NPI 1306483839
Clinic/Center - Primary Care in San Jose, CA

Active since December 03, 2019CLIA 05D2178593 · Waiver
841 BLOSSOM HILL RD STE 215, SAN JOSE, CA 95123(408) 629-7095(408) 281-8235 Get Directions Write a Review

NPPES record last updated: March 6, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 6, 2020, Dec 3, 2019 (2 updates tracked since 2019).

About Seres Prime Healthcare NPPES

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

SERES PRIME HEALTHCARE (NPI 1306483839) is a healthcare organization registered as a primary care in San Jose, California and active in the NPI registry since December 2019. The organization holds a CLIA Waiver certificate valid through February 4, 2028 and lists Daniel J Reyes-villa, President, as its authorized official.

NPPES Registry Identity

NPI1306483839
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSERES PRIME HEALTHCARE
Location Address841 BLOSSOM HILL RD STE 215San Jose, CA 95123-2704
Mailing Address841 Blossom Hill Rd Ste 215San Jose, CA 95123-2704 · (408) 629-7095 · Fax (408) 281-8235
Phone(408) 629-7095
Fax(408) 281-8235
Organization SubpartNo
Authorized OfficialDaniel J Reyes-villaPresident · (408) 702-0991
Enumeration DateDecember 3, 2019
Last NPPES UpdateMarch 6, 20202 updates tracked since enumeration
NPPES CertifiedMarch 6, 2020
✔ NPI 1306483839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
841 BLOSSOM HILL RD STE 215, San Jose, CA 95123
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Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Seres Prime Healthcare is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Seres Prime Healthcare, which bills Medicare for the services this clinician delivers.

Clinician (1)

Daniel Reyes-Villa, M.D.
Family Practice
NPI 1013136563
841 BLOSSOM HILL RD STE 215
San Jose, CA 95123
(408) 629-7095
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2178593

Seres Prime Healthcare · San Jose, CA
Active · expires Feb 4, 2028
CLIA Number05D2178593
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorDaniel J. Reyesvilla
Laboratory Phone(408) 629-7095
Laboratory LocationSeres Prime Healthcare841 Blossom Hill Road Suite 215, San Jose, CA 95123
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Seres Prime Healthcare's NPI number?

The NPI number for Seres Prime Healthcare is 1306483839. It was assigned to this organization in the NPPES registry on December 3, 2019.

Where is Seres Prime Healthcare located?

Seres Prime Healthcare is located at 841 Blossom Hill Rd Ste 215, San Jose, CA 95123. The listed phone number is (408) 629-7095.

What is Seres Prime Healthcare's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Seres Prime Healthcare enrolled in Medicare?

Yes. Seres Prime Healthcare is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Seres Prime Healthcare?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Seres Prime Healthcare. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Seres Prime Healthcare hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2178593) is associated with this NPI, valid through February 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Seres Prime Healthcare was last updated on March 6, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.