| Acacia Family Medical Group, Inc. | |
|
8036 San Miguel Canyon Rd Prunedale CA 93907-1208 | |
| (831) 663-0123 | |
| (831) 663-9503 |
| Full Name | Acacia Family Medical Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 8036 San Miguel Canyon Rd, Prunedale, California |
| Authorized Official Name and Position | Sumana Reddy (OWNER) |
| Authorized Official Contact | 9316639500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Acacia Family Medical Group, Inc. 8020 San Miguel Canyon Rd Prunedale CA 93907-1208 Ph: (831) 663-9500 | Acacia Family Medical Group, Inc. 8036 San Miguel Canyon Rd Prunedale CA 93907-1208 Ph: (831) 663-0123 |
| NPI Number | 1659539906 |
|---|---|
| Provider Enumeration Date | 05/22/2008 |
| Last Update Date | 05/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659539906 | NPI | - | NPPES |
| GR0083011 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
County Of Monterey Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17615 Moro Rd, Prunedale, CA 93907 Phone: 831-663-3926 | |
Fchc Prunedale Medical Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17637 Vierra Canyon Rd, Prunedale, CA 93907 Phone: 408-729-4290 Fax: 866-931-7822 |