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1487151098 NPI number — QUADMED MEDICAL CLINICS OF CALIFORNIA, INC.

NPI Number: 1487151098
Health Care Provider/Practitioner: QUADMED MEDICAL CLINICS OF CALIFORNIA, INC.

Information about “1487151098” NPI (QUADMED MEDICAL CLINICS OF CALIFORNIA, INC.) exists in 1487151098 in HTML format HTML  |  1487151098 in plain Text format TXT  |  1487151098 in PDF (Portable Document Format) PDF  |  1487151098 in an XML format XML  formats.

NPI Number : 1487151098 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1487151098",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "QUADMED MEDICAL CLINICS OF CALIFORNIA, INC.",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": "6",
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "W227N6103 SUSSEX RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SUSSEX",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "53089-3969",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "414-566-8400",
    "MailingAddressFaxNumber": "414-566-8400",
    "FirstLinePracticeLocationAddress": "825 E CENTRAL AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SAN BERNARDINO",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "92408",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "888-261-6210",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "04/10/2018",
    "LastUpdateDate": "10/08/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "HARMAN",
    "AuthorizedOfficialFirstName": "JEFFERSON",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "MEDICAL DIRECTOR",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MD",
    "AuthorizedOfficialTelephoneNumber": "414-566-8400",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261QP2300X",
        "TaxonomyName": "Primary Care Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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