Kelley Park Medical Clinic, Inc
NPI 1942340625 · Primary Care Clinic/Center · San Jose, CA
Kelley Park Medical Clinic, Inc is a Primary Care Clinic/Center organization in San Jose, CA (NPI 1942340625).
Provider details
- NPI number
- 1942340625
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Peter Nguyen, Dr(408) 794-2088
- License
- 20A7360 (CA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-08
- Last updated
- 2007-08-15
Frequently asked questions
- What is Kelley Park Medical Clinic, Inc's NPI number?
- Kelley Park Medical Clinic, Inc's National Provider Identifier (NPI) is 1942340625, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Kelley Park Medical Clinic, Inc?
- Kelley Park Medical Clinic, Inc is classified in the NPPES registry as Primary Care Clinic/Center (Ambulatory Health Care Facilities).
- Where is Kelley Park Medical Clinic, Inc located?
- Kelley Park Medical Clinic, Inc's practice location on file with NPPES is 749 Story Rd, San Jose, CA 95122-2600.
- What is Kelley Park Medical Clinic, Inc's phone number?
- The practice phone number listed in the NPPES registry for Kelley Park Medical Clinic, Inc is (408) 794-2088.
- Who is the authorized official for Kelley Park Medical Clinic, Inc?
- The authorized official listed on Kelley Park Medical Clinic, Inc's NPPES record is Peter Nguyen, Dr. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Kelley Park Medical Clinic, Inc's NPI active?
- Yes — Kelley Park Medical Clinic, Inc's NPI (1942340625) is active in the NPPES registry as of the last update on 2007-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.