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Micare California PC

Family Medicine in Clovis, CA. Organization (NPI-2).

NPI number1295453090
StatusActive
Last updated in NPPESAug 17, 2022

Details

NPI
1295453090
Entity type
Organization (NPI-2)
Legal business name
Micare California PC
Organization subpart
No
Enumeration date
Aug 17, 2022
Certification date
Aug 17, 2022
Last updated
Aug 17, 2022

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine––Yes

Practice location

362 N Clovis Ave Ste 102
Clovis, CA 93612-0524

Phone 559-327-2873

Mailing address

Po Box 21367
Billings, MT 59104-1367

Phone 406-245-3575 · Fax 406-652-5380

Authorized official

Brenna Yarina
Privacy Officer
4062453575

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Clovis, CA

All 94 Family Medicine Physician providers in Clovis · All 2,408 providers in Clovis

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