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UKIAH VALLEY PRIMARY CARE MEDICAL GROUP, INC
NPI 1699759332
Clinic/Center - Multi-Specialty in Ukiah, CA

Active since December 06, 2005
260 HOSPITAL DR. STE. 207, UKIAH, CA 95482(707) 463-8000(707) 462-1111 Get Directions Write a Review

NPPES record last updated: June 3, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ukiah Valley Primary Care Medical Group, Inc NPPES

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

UKIAH VALLEY PRIMARY CARE MEDICAL GROUP, INC (NPI 1699759332) is a healthcare organization registered as a multi-specialty in Ukiah, California and active in the NPI registry since December 2005. The organization lists Jeremy Mann, President, Board Of Directors, as its authorized official.

NPPES Registry Identity

NPI1699759332
Entity TypeOrganization
Primary Taxonomy261QM1300X
Legal Business NameUKIAH VALLEY PRIMARY CARE MEDICAL GROUP, INC
Location Address260 HOSPITAL DR. STE. 207Ukiah, CA 95482-4533
Mailing AddressPo Box 2739Ukiah, CA 95482-2739 · (707) 463-8000 · Fax (707) 462-1111
Phone(707) 463-8000
Fax(707) 462-1111
Organization SubpartNo
Authorized OfficialJeremy MannPresident, Board Of Directors · (707) 463-8000
Enumeration DateDecember 6, 2005
Last NPPES UpdateJune 3, 2009
✔ NPI 1699759332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM1300X
260 HOSPITAL DR. STE. 207, Ukiah, CA 95482
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Other Identifiers 4

MedicaidGR0067100CA
MedicaidGPT000830CA
Medicare PINZZZ00872ZCA
MedicaidRHM03947GCA

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 Ukiah Valley Primary Care Medical Group, Inc's NPI number?

The NPI number for Ukiah Valley Primary Care Medical Group, Inc is 1699759332. It was assigned to this organization in the NPPES registry on December 6, 2005.

Where is Ukiah Valley Primary Care Medical Group, Inc located?

Ukiah Valley Primary Care Medical Group, Inc is located at 260 Hospital Dr. Ste. 207, Ukiah, CA 95482. The listed phone number is (707) 463-8000.

What is Ukiah Valley Primary Care Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Ukiah Valley Primary Care Medical Group, Inc was last updated on June 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.