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

Optum Medical Services of California, PC

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1528458486

Optum Medical Services of California, PC is a Geriatric Medicine (Family Medicine) Physician in Eden Prairie, Minnesota. Registered with an NPI since 2015.

In the registry since
2015
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

13625 Technology Dr
Eden Prairie, MN 55344-2252
Phone: (615) 224-5440
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X

Record details

NPI number1528458486
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official James Mittelberger — President · (612) 632-5372
NPI enumeratedJanuary 30, 2015
Last updated in NPPESJanuary 30, 2015
Mailing address13625 Technology Dr, Eden Prairie, MN 55344-2252

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