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

Provident Primary Care Inc

Organization Pulmonary Disease Physician · NPI 1154785517

Provident Primary Care Inc is a Pulmonary Disease Physician in Merced, California. Works from 3 locations. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
4
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

3349 G St Ste C
Merced, CA 95340-0978
Phone: (209) 580-4638
Fax: (209) 580-4163
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 410 E Yosemite Ave Ste A, Merced, CA 95340-8220 — (209) 384-9108
  • 450 E Yosemite Ave Ste A, Merced, CA 95340-8429 — (209) 725-1112

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X
Pulmonary Disease Physician Taxonomy 207RP1001X
Podiatrist Taxonomy 213E00000X
Primary Care Nurse Practitioner Taxonomy 363LP2300X

Record details

NPI number1154785517
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jerry Tiu — Ceo · (209) 384-4400
NPI enumeratedApril 11, 2016
Last updated in NPPESOctober 12, 2021
Certification dateOctober 12, 2021
Mailing address3349 G St Ste C, Merced, CA 95340-0978

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