SAN JOAQUIN PRIME CARE MEDICAL GROUP INC - NPI 1982891735

Q: 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.

On this page

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 1982891735) is a healthcare organization registered as a family medicine in Squaw Valley, California and active in the NPI registry since September 2007. The organization lists Kimberly Burgins, Billing Supervisor, as its authorized official.

NPPES Registry Identity

NPI1982891735

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameSAN JOAQUIN PRIME CARE MEDICAL GROUP INC

Location Address30924 E KINGS CANYON RDSquaw Valley, CA 93675-9601

Mailing Address330 E Pine StExeter, CA 93221-1838 · (559) 592-2134 · Fax (559) 592-2017

Phone(559) 332-9399

Fax(559) 332-9499

Organization SubpartNo

Authorized OfficialKimberly BurginsBilling Supervisor · (559) 783-1181

Enumeration DateSeptember 26, 2007

Last NPPES UpdateApril 27, 2015

✔ NPI 1982891735 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.

30924 E KINGS CANYON RD, Squaw Valley, CA 93675

Open in Google Maps ↗

Other Identifiers 5

MedicaidGR0084782CA

Medicare PINZZZ15837ZCA

Medicare OSCAR/certification558928

Medicaid058928CA

Medicare OSCAR/certification058928

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 3

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

MAKENZIE LEANN DONALDSON DNP

Nurse Practitioner (Family)

30924 E KINGS CANYON RD
SQUAW VALLEY, CA 93675

Fresno County (877) 960-3426

CANDICE BRANTLEY FNP-C

Nurse Practitioner (Family)

30924 E KINGS CANYON RD
SQUAW VALLEY, CA 93675

Fresno County (559) 332-9399

FAMILY HEALTHCARE NETWORK

Clinic/Center (Federally Qualified Health Center (FQHC))

30924 E KINGS CANYON RD
YOKUTS VALLEY, CA 93675

Fresno County (559) 737-4700

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 1982891735. It was assigned to this organization in the NPPES registry on September 26, 2007.

Where is San Joaquin Prime Care Medical Group Inc located?

San Joaquin Prime Care Medical Group Inc is located at 30924 E Kings Canyon Rd, Squaw Valley, CA 93675. The listed phone number is (559) 332-9399.

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 27, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.