| San Joaquin Prime Care Medical Group Inc | |
|
682 E Visalia Rd Farmersville CA 93223-1641 | |
| (559) 594-4564 | |
| (559) 594-4564 |
| Full Name | San Joaquin Prime Care Medical Group Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 682 E Visalia Rd, Farmersville, California |
| Authorized Official Name and Position | Kim Burgins (BILLING SUPERVISOR) |
| Authorized Official Contact | 5597831181 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| San Joaquin Prime Care Medical Group Inc 330 E Pine St Exeter CA 93221-1838 Ph: (559) 592-2134 | San Joaquin Prime Care Medical Group Inc 682 E Visalia Rd Farmersville CA 93223-1641 Ph: (559) 594-4564 |
| NPI Number | 1487848131 |
|---|---|
| Provider Enumeration Date | 09/05/2007 |
| Last Update Date | 04/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487848131 | NPI | - | NPPES |
| RHM53939F | Medicaid | CA | |
| GR0084781 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A43893 (California) | Primary |
Raynado Garcia Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 682 E Visalia Rd, Farmersville, CA 93223 Phone: 559-594-4564 Fax: 559-594-5559 | |
County Of Tulare Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 660 E Visalia Rd, Farmersville, CA 93223 Phone: 559-713-2890 Fax: 559-594-6790 |