Micare California PC
Organization Active NPI Family Medicine Physician · Clovis, CA
NPI 1295453090 · NPPES record last updated Aug 17, 2022
Key facts
- NPI
- 1295453090
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- Legal business name
- MICARE CALIFORNIA PC
- Practice address
- 362 N Clovis Ave Ste 102
Clovis, CA 93612-0524 - Phone
- (559) 327-2873
- NPI assigned
- Aug 17, 2022
- Organization subpart
- No
Authorized official
- Name
- Brenna Yarina
- Title
- Privacy Officer
- Phone
- (406) 245-3575
Practitioners 3
-
Antonieta Silvia Acosta, PA-C
-
Barbara Gilman, F.N.P.
National Provider Directory
Locations
362 N Clovis Ave
Ste 102
Clovis, CA 93612
Phone (559) 327-2873
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | Yes |
Addresses
Primary practice location
362 N Clovis Ave Ste 102
Clovis, CA 93612-0524
Mailing address
PO Box 21367
Billings, MT 59104-1367
Phone (406) 245-3575
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All providers in Clovis, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 17, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.