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Provident Primary Care Inc

Primary Care Clinic/Center in Merced, CA · enumerated 2016 · authorized official Jerry Tiu, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154785517

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Registry record

Entity type Organization (Type 2)
Legal business name Provident Primary Care Inc
Practice address 3349 G St Ste C, Merced, CA, 95340
Phone (209) 580-4638
Fax (209) 580-4163
Enumeration date Apr 11, 2016
Last updated in NPPES Oct 12, 2021

Taxonomy & classification

207RP1001X Pulmonary Disease Physician Allopathic & Osteopathic Physicians Secondary
213E00000X Podiatrist Podiatric Medicine & Surgery Service Providers Secondary
261QP2300X Primary Care Clinic/Center Ambulatory Health Care Facilities Primary
363LP2300X Primary Care Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Secondary

Authorized official

Name Jerry Tiu
Title Ceo
Phone (209) 384-4400

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What type of organization is Provident Primary Care Inc?
Provident Primary Care Inc is registered in NPPES as a Primary Care Clinic/Center (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2021-10-12.