NPI
San Joaquin Prime Care Medical Group Inc
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2007-09-26
- Last updated
- 2015-04-27
Specialties
Licenses
- License CA
- A43893
Location
- Practice location
- 30924 E Kings Canyon Rd
- City
- Squaw Valley CA
- Postal code
- 93675-9601
- Phone
- (559) 332-9399
Organization contact
- Name
- KIMBERLY BURGINS
- Title
- billing supervisor
- Phone
- 5597831181
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Squaw Valley, CA. 12 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
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