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PRSNJ MEDICAL GROUP PC
NPI 1639054687
Family Medicine in Walnut Creek, CA

Active since August 08, 2025
1212 BROADWAY PLZ STE 2100, WALNUT CREEK, CA 94596(650) 485-3459 Get Directions Write a Review

NPPES record last updated: August 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Prsnj Medical Group Pc NPPES

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

PRSNJ MEDICAL GROUP PC (NPI 1639054687) is a healthcare organization registered as a family medicine in Walnut Creek, California and active in the NPI registry since August 2025. The organization lists James Wantuck, President, as its authorized official.

NPPES Registry Identity

NPI1639054687
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePRSNJ MEDICAL GROUP PC
Location Address1212 BROADWAY PLZ STE 2100Walnut Creek, CA 94596-5129
Mailing Address1212 Broadway Plz Ste 2100Walnut Creek, CA 94596-5129 · (650) 485-3459
Phone(650) 485-3459
Organization SubpartNo
Authorized OfficialJames WantuckPresident · (650) 485-3759
Enumeration DateAugust 8, 2025
NPPES CertifiedAugust 8, 2025
✔ NPI 1639054687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
Also ListedEmergency MedicineTaxonomy 207P00000X
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
1212 BROADWAY PLZ STE 2100, Walnut Creek, CA 94596
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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 4

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

ERU HOME CARE LLC
In Home Supportive Care
1212 BROADWAY PLZ STE 2100
WALNUT CREEK, CA 94596
Contra Costa County (925) 515-6824
PRSCA MEDICAL GROUP PC
Family Medicine
1212 BROADWAY PLZ STE 2100
WALNUT CREEK, CA 94596
Contra Costa County (650) 485-3759
DR. MARINA NIZNIK PHD
Psychologist
1212 BROADWAY PLZ STE 2100
WALNUT CREEK, CA 94596
Contra Costa County (925) 818-8079
PRSMT MEDICAL GROUP PC
Family Medicine
1212 BROADWAY PLZ STE 2100
WALNUT CREEK, CA 94596
Contra Costa County (650) 485-3759

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 Prsnj Medical Group PC's NPI number?

The NPI number for Prsnj Medical Group PC is 1639054687. It was assigned to this organization in the NPPES registry on August 8, 2025.

Where is Prsnj Medical Group PC located?

Prsnj Medical Group PC is located at 1212 Broadway Plz Ste 2100, Walnut Creek, CA 94596. The listed phone number is (650) 485-3459.

What is Prsnj Medical Group PC'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 Prsnj Medical Group PC was last updated on August 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.