San Joaquin Prime Care Medical Group Inc
NPI 1982891735 · Family Medicine Physician · Squaw Valley, CA
San Joaquin Prime Care Medical Group Inc is a Family Medicine Physician organization in Squaw Valley, CA (NPI 1982891735).
Provider details
- NPI number
- 1982891735
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Kimberly Burgins, Billing Supervisor(559) 783-1181
- License
- A43893 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 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
- 2007-09-26
- Last updated
- 2015-04-27
Frequently asked questions
- What is San Joaquin Prime Care Medical Group Inc's NPI number?
- San Joaquin Prime Care Medical Group Inc's National Provider Identifier (NPI) is 1982891735, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is San Joaquin Prime Care Medical Group Inc?
- San Joaquin Prime Care Medical Group Inc is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is San Joaquin Prime Care Medical Group Inc located?
- San Joaquin Prime Care Medical Group Inc's practice location on file with NPPES is 30924 E Kings Canyon Rd, Squaw Valley, CA 93675-9601.
- What is San Joaquin Prime Care Medical Group Inc's phone number?
- The practice phone number listed in the NPPES registry for San Joaquin Prime Care Medical Group Inc is (559) 332-9399.
- Who is the authorized official for San Joaquin Prime Care Medical Group Inc?
- The authorized official listed on San Joaquin Prime Care Medical Group Inc's NPPES record is Kimberly Burgins, Billing Supervisor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is San Joaquin Prime Care Medical Group Inc's NPI active?
- Yes — San Joaquin Prime Care Medical Group Inc's NPI (1982891735) is active in the NPPES registry as of the last update on 2015-04-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.