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

Willow Glen Primary Care Medicine

Organization Family Medicine Physician · NPI 1942692140

Willow Glen Primary Care Medicine is a Family Medicine Physician in San Jose, California. Licensed in California. Registered with an NPI since 2015.

Licensed in
CA
In the registry since
2015

Practice location Address checks out

1226 Lincoln Ave Ste 100
San Jose, CA 95125-3025
Phone: (408) 460-5869
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A75108 (CA)

Record details

NPI number1942692140
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sian Lindsay — Owner · (408) 460-5869
NPI enumeratedFebruary 24, 2015
Last updated in NPPESMarch 20, 2015
Mailing address1226 Lincoln Ave, Suite 100, San Jose, CA 95125-3025

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