CALIFORNIA PRIMARY CARE MEDICAL GROUP, INC.
NPI 1790910610
Clinic/Center - Multi-Specialty in Stockton, CA

Q: What is California 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.

Active since May 21, 2009

530 W ACACIA ST, STOCKTON, CA 95203(209) 944-5550 Get Directions Write a Review

NPPES record last updated: May 21, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About California Primary Care Medical Group, Inc. NPPES

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

CALIFORNIA PRIMARY CARE MEDICAL GROUP, INC. (NPI 1790910610) is a healthcare organization registered as a multi-specialty in Stockton, California and active in the NPI registry since May 2009. The organization lists Otashe Nyoku Golden, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1790910610

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameCALIFORNIA PRIMARY CARE MEDICAL GROUP, INC.

Location Address530 W ACACIA STStockton, CA 95203-2454

Mailing Address530 W Acacia StStockton, CA 95203-2454 · (916) 944-5550

Phone(209) 944-5550

Organization SubpartNo

Authorized OfficialOtashe Nyoku GoldenMedical Director · (916) 837-1966

Enumeration DateMay 21, 2009

✔ NPI 1790910610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X · License A70035 (CA)

530 W ACACIA ST, Stockton, CA 95203

Open in Google Maps ↗

Other Identifiers 1

Medicare UPINH05578CA

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.

DAMERON MEDICAL GROUP, INC.

Family Medicine

530 W ACACIA ST
STOCKTON, CA 95203

San Joaquin County (209) 461-3196

DAMERON HOSPITAL ASSOCIATION

Clinic/Center (Primary Care)

530 W ACACIA ST, SUITE 1
STOCKTON, CA 95203

San Joaquin County (209) 944-5410

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 California Primary Care Medical Group, Inc.'s NPI number?

The NPI number for California Primary Care Medical Group, Inc. is 1790910610. It was assigned to this organization in the NPPES registry on May 21, 2009.

Where is California Primary Care Medical Group, Inc. located?

California Primary Care Medical Group, Inc. is located at 530 W Acacia St, Stockton, CA 95203. The listed phone number is (209) 944-5550.

What is California 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 California Primary Care Medical Group, Inc. was last updated on May 21, 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.