PACIFIC FAMILY MEDICAL GROUP
NPI 1164672929
Family Medicine in Monterey, CA

Active since September 29, 2008CLIA 05D1014358 · Microscopy
1900 GARDEN RD, 100, MONTEREY, CA 93940(831) 375-4945(831) 375-4779 Get Directions Write a Review

NPPES record last updated: January 27, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Pacific Family Medical Group NPPES

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

PACIFIC FAMILY MEDICAL GROUP (NPI 1164672929) is a healthcare organization registered as a family medicine in Monterey, California and active in the NPI registry since September 2008. The organization holds a CLIA Microscopy certificate valid through July 1, 2027 and lists Michael Hendrick, President, as its authorized official.

NPPES Registry Identity

NPI1164672929
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePACIFIC FAMILY MEDICAL GROUP
Location Address1900 GARDEN RD, 100Monterey, CA 93940-5373
Mailing Address1900 Garden Rd, 100Monterey, CA 93940-5373 · (831) 375-4945 · Fax (831) 375-4779
Fax(831) 375-4779
Organization SubpartNo
Authorized OfficialMichael HendrickPresident · (831) 375-4945
Enumeration DateSeptember 29, 2008
Last NPPES UpdateJanuary 27, 2009
✔ NPI 1164672929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
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.
1900 GARDEN RD, Monterey, CA 93940

Other Identifiers 1

Medicare PINAZ402CA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pacific Family Medical Group is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Pacific Family Medical Group, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1568492015
1900 GARDEN RD STE 100
Monterey, CA 93940
(831) 375-4945
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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) 05D1014358

Pacific Family Medical Group · Monterey, CA
Active · expires Jul 1, 2027
CLIA Number05D1014358
Laboratory TypePhysician Office
Certificate Effective DateJuly 2, 2025
Certificate Expiration DateJuly 1, 2027
Laboratory DirectorMichael D. Hendrick MD
Laboratory Phone(831) 375-4945
Laboratory LocationPacific Family Medical Group1900 Garden Road, Suite 100, Monterey, CA 93940
CLIA data matches this NPI record on: Address 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.

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 Pacific Family Medical Group's NPI number?

The NPI number for Pacific Family Medical Group is 1164672929. It was assigned to this organization in the NPPES registry on September 29, 2008.

Where is Pacific Family Medical Group located?

Pacific Family Medical Group is located at 1900 Garden Rd 100, Monterey, CA 93940. The listed phone number is (831) 375-4945.

What is Pacific Family Medical Group's specialty?

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

Is Pacific Family Medical Group enrolled in Medicare?

Yes. Pacific Family Medical Group is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pacific Family Medical Group?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Pacific Family Medical Group. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pacific Family Medical Group hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D1014358) is associated with this NPI, valid through July 1, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pacific Family Medical Group was last updated on January 27, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.