Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
SAN JOAQUIN PRIME CARE MEDICAL GROUP INC
Active
Organization
SAN JOAQUIN PRIME CARE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BURGINS (BILLING SUPERVISOR)
(559) 783-1181
Entity
Organization
Contact information
Practice address
682 E VISALIA RD, FARMERSVILLE, CA 93223-1641
(559) 594-4564
(559) 594-4564
Mailing address
330 E PINE ST, EXETER, CA 93221-1838
(559) 592-2134
(559) 592-5017
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A43893
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0084781
—
CA
05
—
RHM53939F
—
CA
Enumeration date
09/05/2007
Last updated
04/27/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up