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ACACIA FAMILY MEDICAL GROUP, INC.
NPI 1659539906
Family Medicine in Prunedale, CA

Active since May 22, 2008CLIA 05D1039682 · Microscopy
8036 SAN MIGUEL CANYON RD, PRUNEDALE, CA 93907(831) 663-0123(831) 663-9503 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Acacia Family Medical Group, Inc. NPPES

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

ACACIA FAMILY MEDICAL GROUP, INC. (NPI 1659539906) is a healthcare organization registered as a family medicine in Prunedale, California and active in the NPI registry since May 2008. The organization holds a CLIA Microscopy certificate valid through April 18, 2027 and lists Sumana Reddy, Owner, as its authorized official.

NPPES Registry Identity

NPI1659539906
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameACACIA FAMILY MEDICAL GROUP, INC.
Location Address8036 SAN MIGUEL CANYON RDPrunedale, CA 93907-1208
Mailing Address8020 San Miguel Canyon RdPrunedale, CA 93907-1208 · (831) 663-9500 · Fax (831) 663-9503
Phone(831) 663-0123
Fax(831) 663-9503
Organization SubpartNo
Authorized OfficialSumana ReddyOwner · (931) 663-9500
Enumeration DateMay 22, 2008
✔ NPI 1659539906 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ 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.
8036 SAN MIGUEL CANYON RD, Prunedale, CA 93907
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Other Identifiers 1

MedicaidGR0083011CA

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

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 for Provider-Performed Microscopy Procedures (PPMP) 05D1039682

Acacia Family Medical Group · Prunedale, CA
Active · expires Apr 18, 2027
CLIA Number05D1039682
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorSumana Reddy MD
Laboratory Phone(831) 663-0123
Laboratory LocationAcacia Family Medical Group8036 San Miguel Cyn Rd, Prunedale, CA 93907
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

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.

MR. ALIM ALUSINE IBRAHIM PA-C
Physician Assistant
8036 SAN MIGUEL CANYON RD
PRUNEDALE, CA 93907
Monterey County (617) 838-4702
JOSHUA RUIZ
Physician Assistant
8036 SAN MIGUEL CANYON RD
PRUNEDALE, CA 93907
Monterey County (831) 663-0123

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 Acacia Family Medical Group, Inc.'s NPI number?

The NPI number for Acacia Family Medical Group, Inc. is 1659539906. It was assigned to this organization in the NPPES registry on May 22, 2008.

Where is Acacia Family Medical Group, Inc. located?

Acacia Family Medical Group, Inc. is located at 8036 San Miguel Canyon Rd, Prunedale, CA 93907. The listed phone number is (831) 663-0123.

What is Acacia Family Medical Group, Inc.'s specialty?

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

Does Acacia Family Medical Group, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1039682) is associated with this NPI, valid through April 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Acacia Family Medical Group, Inc. was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.