1. Home
  2. Directory
  3. California
  4. La Grange
  5. General Practice
  6. NPI Profile

DON PEDRO FAMILY PRACTICE
NPI 1104145861
General Practice in La Grange, CA

Active since May 20, 2010CLIA 05D0954551 · Waiver
3191 EL PRADO RD, SUITE D, LA GRANGE, CA 95329(209) 852-2764(209) 852-2766 Get Directions Write a Review

NPPES record last updated: May 20, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Don Pedro Family Practice NPPES

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

DON PEDRO FAMILY PRACTICE (NPI 1104145861) is a healthcare organization registered as a general practice in La Grange, California and active in the NPI registry since May 2010. The organization holds a CLIA Waiver certificate valid through November 30, 2026 and lists Sandra Marie De La Torre, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1104145861
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameDON MICHAEL ENDRESS MD
Location Address3191 EL PRADO RD, SUITE DLa Grange, CA 95329-9761
Mailing Address2416 Canasta CtLa Grange, CA 95329-9633 · (209) 852-2765 · Fax (209) 852-2766
Phone(209) 852-2764
Fax(209) 852-2766
Organization SubpartNo
Authorized OfficialSandra Marie De La TorreOffice Manager · (209) 874-2345
Enumeration DateMay 20, 2010
✔ NPI 1104145861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CT · A53357
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
3191 EL PRADO RD, La Grange, CA 95329
Open in Google Maps ↗

Other Names 1

Doing Business AsDon Pedro Family Practice

Other Identifiers 1

Medicaid00A533570CA

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 of Waiver 05D0954551

Don Pedro Family Practice · La Grange, CA
Active · expires Nov 30, 2026
CLIA Number05D0954551
Laboratory TypePhysician Office
Certificate Effective DateDecember 1, 2024
Certificate Expiration DateNovember 30, 2026
Laboratory DirectorDon M. Endress
Laboratory Phone(209) 852-2764
Laboratory LocationDon Pedro Family Practice3191 El Prado Suite D, La Grange, CA 95329
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Don Michael Endress MD's NPI number?

The NPI number for Don Michael Endress MD is 1104145861. It was assigned to this organization in the NPPES registry on May 20, 2010. The provider is doing business as Don Pedro Family Practice.

Where is Don Michael Endress MD located?

Don Michael Endress MD is located at 3191 El Prado Rd Suite D, La Grange, CA 95329. The listed phone number is (209) 852-2764.

What is Don Michael Endress MD's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Does Don Michael Endress MD hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0954551) is associated with this NPI, valid through November 30, 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 Don Michael Endress MD was last updated on May 20, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.