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MIRA MACE MEDICAL SERVICES WEST PC
NPI 1902760333
Family Medicine in Santa Clara, CA

Active since December 10, 2025
2445 AUGUSTINE DR, SANTA CLARA, CA 95054(332) 296-0021 Get Directions Write a Review

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

Record update history: Jun 3, 2026, Dec 10, 2025 (2 updates tracked since 2025).

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

NPI1902760333
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMIRA MACE MEDICAL SERVICES WEST PC
Location Address2445 AUGUSTINE DRSanta Clara, CA 95054-3032
Mailing Address1111b S Governors Ave Ste 39475Dover, DE 19904-6903 · (332) 296-0021
Phone(332) 296-0021
Organization SubpartNo
Authorized OfficialPrashant KumarOperations Administrator · (332) 296-0021
Enumeration DateDecember 10, 2025
Last NPPES UpdateJune 3, 20262 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1902760333 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.
2445 AUGUSTINE DR, Santa Clara, CA 95054
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

MR. TRAVIS SNEED
Psychologist (Addiction (Substance Use Disorder))
2445 AUGUSTINE DR
SANTA CLARA, CA 95054
Santa Clara County (408) 560-2302

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.

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 2 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.