OPTUM MEDICAL SERVICES OF CALIFORNIA, P.C.
NPI 1528458486
Family Medicine - Geriatric Medicine in Eden Prairie, MN

Active since January 30, 2015
13625 TECHNOLOGY DR, EDEN PRAIRIE, MN 55344(615) 224-5440 Get Directions Write a Review

NPPES record last updated: January 30, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Optum Medical Services Of California, P.c. NPPES

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

OPTUM MEDICAL SERVICES OF CALIFORNIA, P.C. (NPI 1528458486) is a healthcare organization registered as a geriatric medicine in Eden Prairie, Minnesota and active in the NPI registry since January 2015. The organization lists James A Mittelberger, President, as its authorized official.

NPPES Registry Identity

NPI1528458486
Entity TypeOrganization
Primary Taxonomy207QG0300X
Legal Business NameOPTUM MEDICAL SERVICES OF CALIFORNIA, P.C.
Location Address13625 TECHNOLOGY DREden Prairie, MN 55344-2252
Mailing Address13625 Technology DrEden Prairie, MN 55344-2252 · (615) 224-5440
Organization SubpartNo
Authorized OfficialJames A MittelbergerPresident · (612) 632-5372
Enumeration DateJanuary 30, 2015
NPI 1528458486 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

13625 TECHNOLOGY DR, Eden Prairie, MN 55344

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Family Medicine (Geriatric Medicine)
13625 TECHNOLOGY DR
EDEN PRAIRIE, MN 55344
Nurse Practitioner (Family)
13625 TECHNOLOGY DR
EDEN PRAIRIE, MN 55344

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528458486, enumerated as an "organization" on January 30, 2015.

The provider is located at 13625 TECHNOLOGY DR EDEN PRAIRIE, MN 55344 and the phone number is (615) 224-5440.

Family Medicine with taxonomy code 207QG0300X and a focus in Geriatric Medicine.