California Medicaid lookup
One provider matched this Medicaid ID.
California Medicaid ID 00AX73600 resolves to a single NPI record. Open the full profile for complete detail.
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KP
NPI · 1942340625 · Active
Kelley Park Medical Clinic, INC
Primary Care Clinic · San Jose, California
NPI
1942340625
Medicaid (CA)
00AX73600
Taxonomy
261QP2300X
State
California
Secondary identifiers
Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.
Medicaid
Other
- 023997CA· Issued by VFC
Source: NPPES public registry.
ReferenceAbout state Medicaid identifiers
State Medicaid programmes assign each enrolled provider a state-scoped identifier used on Medicaid claims. The identifier is reported to the federal NPPES registry alongside the provider's NPI and is mirrored here from the public dissemination file. Each state administers its own Medicaid programme, so the same provider can hold different Medicaid numbers in different states.