Primaire Medical System | |
2395 Montpelier Dr Ste 4 San Jose CA 95116-1619 | |
(408) 272-3041 | |
(408) 818-8803 |
Full Name | Primaire Medical System |
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Speciality | Family Medicine |
Location | 2395 Montpelier Dr Ste 4, San Jose, California |
Authorized Official Name and Position | Victor Jose A Meceda (PRESIDENT & CEO) |
Authorized Official Contact | 4082723041 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Primaire Medical System 2395 Montpelier Dr Ste 4 San Jose CA 95116-1619 Ph: (408) 272-3041 | Primaire Medical System 2395 Montpelier Dr Ste 4 San Jose CA 95116-1619 Ph: (408) 272-3041 |
NPI Number | 1740662493 |
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Provider Enumeration Date | 06/18/2015 |
Last Update Date | 09/02/2023 |
Medicare PECOS PAC ID | 9234432956 |
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Medicare Enrollment ID | O20160129000351 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740662493 | NPI | - | NPPES |
Provider Name | Victor Jose A Meceda |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1558698829 PECOS PAC ID: 6204960917 Enrollment ID: I20100817001046 |
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