MIRA MACE MEDICAL SERVICES WEST PC
NPI 1902760333
Family Medicine in Santa Clara, CA
About Mira Mace Medical Services West Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIRA MACE MEDICAL SERVICES WEST PC (NPI 1902760333) is a healthcare organization registered as a family medicine in Santa Clara, California and active in the NPI registry since December 2025. The organization lists Prashant Kumar, Operations Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mira Mace Medical Services West Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Mira Mace Medical Services West PC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mira Mace Medical Services West PC's NPI number?
The NPI number for Mira Mace Medical Services West PC is 1902760333. It was assigned to this organization in the NPPES registry on December 10, 2025.
Where is Mira Mace Medical Services West PC located?
Mira Mace Medical Services West PC is located at 2445 Augustine Dr, Santa Clara, CA 95054. The listed phone number is (332) 296-0021.
What is Mira Mace Medical Services West PC's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Mira Mace Medical Services West PC enrolled in Medicare?
Yes. Mira Mace Medical Services West PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mira Mace Medical Services West PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Family Practice, reassign their Medicare billing to Mira Mace Medical Services West PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Mira Mace Medical Services West PC was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mira Mace Medical Services West Pc · NPI 1902760333
Family Medicine organization in Santa Clara, California. Organization record, active in the CMS NPPES registry since December 10, 2025.
## Identity
- **NPI:** 1902760333 (Entity type: Organization)
- **Enumerated:** December 10, 2025
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Prashant Kumar, OPERATIONS ADMINISTRATOR
## Practice location
- **Address:** 2445 AUGUSTINE DR, Santa Clara, CA 95054-3032
- **Phone:** (332) 296-0021
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Family Practice) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 3, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1902760333) · Data from the CMS NPPES public registry.