Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mira Mace Medical Services West PC

Organization Family Medicine Physician · NPI 1902760333

Mira Mace Medical Services West PC provides Family Medicine Physician services in Santa Clara, California. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2445 Augustine Dr
Santa Clara, CA 95054-3032
Phone: (332) 296-0021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1902760333
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Prashant Kumar — Operations Administrator · (332) 296-0021
NPI enumeratedDecember 10, 2025
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing address1111b S Governors Ave Ste 39475, Dover, DE 19904-6903

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