HENDRIK BREYTENBACH MD INC
NPI 1003314873
Family Medicine in Templeton, CA

Q: What is Hendrik Breytenbach MD Inc's NPI number?

The NPI number for Hendrik Breytenbach MD Inc is 1003314873. It was assigned to this organization in the NPPES registry on January 26, 2018.

Q: What is Hendrik Breytenbach MD Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 26, 2018CLIA 05D0989093 · Microscopy

292 POSADA LN STE D, TEMPLETON, CA 93465(805) 434-3791(805) 434-2019 Get Directions Write a Review

NPPES record last updated: January 26, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Hendrik Breytenbach Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HENDRIK BREYTENBACH MD INC (NPI 1003314873) is a healthcare organization registered as a family medicine in Templeton, California and active in the NPI registry since January 2018. The organization holds a CLIA Microscopy certificate valid through December 31, 2026 and lists Crissy Mackinga, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1003314873

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameHENDRIK BREYTENBACH MD INC

Location Address292 POSADA LN STE DTempleton, CA 93465-4054

Mailing Address292 Posada Ln Ste DTempleton, CA 93465-4054 · (805) 434-3791 · Fax (805) 434-2019

Phone(805) 434-3791

Fax(805) 434-2019

Organization SubpartNo

Authorized OfficialCrissy MackingaOffice Manager · (805) 434-3791

Enumeration DateJanuary 26, 2018

✔ NPI 1003314873 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · A69161

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

292 POSADA LN STE D, Templeton, CA 93465

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D0989093

Hendrik Breytenbach MD · Templeton, CA

Active · expires Dec 31, 2026

CLIA Number05D0989093

Laboratory TypePhysician Office

Certificate Effective DateJanuary 1, 2025

Certificate Expiration DateDecember 31, 2026

Laboratory DirectorHendrik F. Breytenback

Laboratory Phone(805) 434-3791

Laboratory LocationHendrik Breytenbach MD262 Posada Lane, Ste A, Templeton, CA 93465

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRIER MEDICAL CLINIC A PROFESSIONAL CORPORATION

Internal Medicine (Infectious Disease)

292 POSADA LN STE D
TEMPLETON, CA 93465

San Luis Obispo County (805) 434-0880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hendrik Breytenbach MD Inc's NPI number?

The NPI number for Hendrik Breytenbach MD Inc is 1003314873. It was assigned to this organization in the NPPES registry on January 26, 2018.

Where is Hendrik Breytenbach MD Inc located?

Hendrik Breytenbach MD Inc is located at 292 Posada Ln Ste D, Templeton, CA 93465. The listed phone number is (805) 434-3791.

What is Hendrik Breytenbach MD Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Hendrik Breytenbach MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0989093) is associated with this NPI, valid through December 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Hendrik Breytenbach MD Inc was last updated on January 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.