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

Pacific Partners Medical Group Inc

Organization Family Medicine Physician · NPI 1558614073

Pacific Partners Medical Group Inc provides Family Medicine Physician services in San Jose, California. Registered with an NPI since 2012.

In the registry since
2012
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1569 Lexann Ave 128
San Jose, CA 95121-1794 Not confirmed with CMS for 12 years — call before visiting
Phone: (408) 274-1654
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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 number1558614073
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official J. Kersten Kraft — Authorized Official · (408) 274-1654
NPI enumeratedOctober 22, 2012
Last updated in NPPESApril 10, 2014
Mailing address987 University Ave, 12, Los Gatos, CA 95032-7640

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