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

San Joaquin Prime Care Medical Group Inc

Organization Family Medicine Physician · NPI 1265580500

San Joaquin Prime Care Medical Group Inc provides Family Medicine Physician services in Exeter, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

330 E Pine St
Exeter, CA 93221-1838 Not confirmed with CMS for 11 years — call before visiting
Phone: (559) 592-2134
Fax: (559) 592-5017
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A43893 (CA)

Record details

NPI number1265580500
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rita Nye — Billing Supervisor · (559) 783-1181
NPI enumeratedJanuary 5, 2007
Last updated in NPPESApril 24, 2015
Mailing address330 E Pine St, Exeter, CA 93221-1838

Other providers in Exeter