Organization · Type 2 NPI

Premise Health of California Medical PC

Primary Care Clinic/Center · Modesto, CA

NPI number 1093390031 Active

Practice location

2316 Nickerson Dr Ste B
Modesto, CA 95358-9483

Call (209) 554-4402 Map

Fax (209) 551-6690

Mailing address

5500 Maryland Way Ste 120
Brentwood, TN 37027-4993

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1093390031

Premise Health of California Medical PC's National Provider Identifier is 1093390031, issued on Mar 11, 2021. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Modesto, CA. The record was last updated on Feb 2, 2026.