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

Optum Medical Services of California, PC

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1528458486

Optum Medical Services of California, PC provides Geriatric Medicine (Family Medicine) Physician services in Eden Prairie, Minnesota. Registered with an NPI since 2015.

In the registry since
2015
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

13625 Technology Dr
Eden Prairie, MN 55344-2252 Not confirmed with CMS for 11 years — call before visiting
Phone: (615) 224-5440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X

Record details

NPI number1528458486
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Mittelberger — President · (612) 632-5372
NPI enumeratedJanuary 30, 2015
Last updated in NPPESJanuary 30, 2015
Mailing address13625 Technology Dr, Eden Prairie, MN 55344-2252

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