| Primary Care Consultants, Inc. A Medical Group | |
|
255 W Bullard Ave Suite 124 Clovis CA 93612-0861 | |
| (559) 297-1300 | |
| (559) 324-7534 |
| Full Name | Primary Care Consultants, Inc. A Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 255 W Bullard Ave, Clovis, California |
| Authorized Official Name and Position | Kathleen A Baron (MEDICAL DIRECTOR) |
| Authorized Official Contact | 5592971322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Care Consultants, Inc. A Medical Group 255 W Bullard Ave Suite 124 Clovis CA 93612-0861 Ph: (559) 297-1300 | Primary Care Consultants, Inc. A Medical Group 255 W Bullard Ave Suite 124 Clovis CA 93612-0861 Ph: (559) 297-1300 |
| NPI Number | 1659303832 |
|---|---|
| Provider Enumeration Date | 07/07/2006 |
| Last Update Date | 04/01/2014 |
| Medicare PECOS PAC ID | 9638076615 |
|---|---|
| Medicare Enrollment ID | O20040420001751 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659303832 | NPI | - | NPPES |
| GR0066340 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Sharnjit S Purewal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1740251818 PECOS PAC ID: 1153494422 Enrollment ID: I20080718000639 |
| Provider Name | Jaskeerit Kaur Purewal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1497251672 PECOS PAC ID: 0840697942 Enrollment ID: I20210915003811 |
| Provider Name | Roshma Kunwar Kc |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992587331 PECOS PAC ID: 8123476272 Enrollment ID: I20231129003160 |
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