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

Placerville Family Practice Medical Group, Inc

Organization Family Medicine Physician · NPI 1508884073

Placerville Family Practice Medical Group, Inc provides Family Medicine Physician services in Placerville, California. Registered with an NPI since 2006.

In the registry since
2006
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

905 Spring St
Placerville, CA 95667-4511
Phone: (530) 626-8300
Fax: (530) 626-1344
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1508884073
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gary Young — President · (530) 626-8300
NPI enumeratedJuly 17, 2006
Last updated in NPPESAugust 22, 2020
Mailing address905 Spring St, Placerville, CA 95667-4511

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