SAN JOAQUIN PRIME CARE MEDICAL GROUP INC.
NPI 1710172721
Family Medicine in Reedley, CA

Active since September 12, 2007
826 E MANNING AVE, REEDLEY, CA 93654(559) 638-0400(559) 638-0403 Get Directions Write a Review

NPPES record last updated: April 24, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About San Joaquin Prime Care Medical Group Inc. NPPES

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

SAN JOAQUIN PRIME CARE MEDICAL GROUP INC. (NPI 1710172721) is a healthcare organization registered as a family medicine in Reedley, California and active in the NPI registry since September 2007. The organization lists Kimberly Burgins, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1710172721
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSAN JOAQUIN PRIME CARE MEDICAL GROUP INC.
Location Address826 E MANNING AVEReedley, CA 93654-2232
Mailing Address330 E Pine StExeter, CA 93221-1838 · (559) 592-2134 · Fax (559) 592-5017
Fax(559) 638-0403
Organization SubpartNo
Authorized OfficialKimberly BurginsBilling Supervisor · (559) 783-1181
Enumeration DateSeptember 12, 2007
Last NPPES UpdateApril 24, 2015
NPI 1710172721 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A43893
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.
826 E MANNING AVE, Reedley, CA 93654

Other Identifiers 4

MedicaidRHM53947FCA
MedicaidGR0084784CA
Medicare PINZZZ15839ZCA
Medicare OSCAR/certification553947

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

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner
826 E MANNING AVE
REEDLEY, CA 93654
Nurse Practitioner
826 E MANNING AVE
REEDLEY, CA 93654
Nurse Practitioner (Community Health)
826 E MANNING AVE
REEDLEY, CA 93654
Nurse Practitioner (Family)
826 E MANNING AVE
REEDLEY, CA 93654
Clinic/Center (Federally Qualified Health Center (FQHC))
826 E MANNING AVE
REEDLEY, CA 93654

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 San Joaquin Prime Care Medical Group Inc.'s NPI number?

The NPI number for San Joaquin Prime Care Medical Group Inc. is 1710172721. It was assigned to this organization in the NPPES registry on September 12, 2007.

Where is San Joaquin Prime Care Medical Group Inc. located?

San Joaquin Prime Care Medical Group Inc. is located at 826 E Manning Ave, Reedley, CA 93654. The listed phone number is (559) 638-0400.

What is San Joaquin Prime Care Medical Group Inc.'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 San Joaquin Prime Care Medical Group Inc. was last updated on April 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.