Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kelley Park Medical Clinic, Inc

Organization Primary Care Clinic/Center · NPI 1942340625

Kelley Park Medical Clinic, Inc is a Primary Care Clinic/Center in San Jose, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

749 Story Rd Ste 20
San Jose, CA 95122-2600
Phone: (408) 794-2088
Fax: (408) 292-2179
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence 20A7360 (CA)

Record details

NPI number1942340625
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Peter Nguyen — Dr · (408) 794-2088
NPI enumeratedFebruary 8, 2007
Last updated in NPPESAugust 15, 2007
Mailing address749 Story Rd, Suite 20, San Jose, CA 95122-2600

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