Organization Active NPI

Micare California PC

  • Family Medicine Physician
  • Clovis, CA
National Provider Identifier
1295453090
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 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
Last updated
Aug 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brenna Yarina
Title
Privacy Officer
Phone
(406) 245-3575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

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

National Provider Directory

National Provider Directory

Locations

362 N Clovis Ave
Ste 102
Clovis, CA 93612
Phone (559) 327-2873

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1660694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1295453090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21367",
            "city": "BILLINGS",
            "state": "MT",
            "postal_code": "591041367",
            "telephone_number": "406-245-3575",
            "fax_number": "406-652-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 N CLOVIS AVE STE 102",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936120524",
            "telephone_number": "559-327-2873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICARE CALIFORNIA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-17",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "YARINA",
        "authorized_official_first_name": "BRENNA",
        "authorized_official_title_or_position": "PRIVACY OFFICER",
        "authorized_official_telephone_number": "406-245-3575"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.