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MISSION OSTEOPATHY MEDICAL CLINIC, PC
NPI 1184504318
Family Medicine in Redwood City, CA

Active since September 08, 2025CLIA 05D2338245 · Waiver
400 SEAPORT CT STE 203, REDWOOD CITY, CA 94063(650) 640-2430 Get Directions Write a Review

NPPES record last updated: September 8, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mission Osteopathy Medical Clinic, Pc NPPES

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

MISSION OSTEOPATHY MEDICAL CLINIC, PC (NPI 1184504318) is a healthcare organization registered as a family medicine in Redwood City, California and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through February 5, 2028 and lists Kelley Brinsky, Owner, as its authorized official.

NPPES Registry Identity

NPI1184504318
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMISSION OSTEOPATHY MEDICAL CLINIC, PC
Location Address400 SEAPORT CT STE 203Redwood City, CA 94063-2767
Mailing Address2731 Summit DrHillsborough, CA 94010-6039 · (650) 640-2430 · Fax (650) 897-5109
Phone(650) 640-2430
Organization SubpartNo
Authorized OfficialKelley BrinskyOwner · (650) 640-2430
Enumeration DateSeptember 8, 2025
NPPES CertifiedSeptember 7, 2025
✔ NPI 1184504318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedNeuromusculoskeletal Medicine & OMMTaxonomy 204D00000X
400 SEAPORT CT STE 203, Redwood City, CA 94063
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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 05D2338245

Mission Osteopathy Medical Clinic, PC · Redwood City, CA
Active · expires Feb 5, 2028
CLIA Number05D2338245
Laboratory TypePhysician Office
Certificate Effective DateFebruary 6, 2026
Certificate Expiration DateFebruary 5, 2028
Laboratory DirectorKelley M. Brinsky
Laboratory Phone(650) 267-2098
Laboratory LocationMission Osteopathy Medical Clinic, PC400 Seaport Ct, Ste 203, Redwood City, CA 94063
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

DENISE KAN MD
Internal Medicine
400 SEAPORT CT STE 203
REDWOOD CITY, CA 94063
San Mateo County (650) 727-1940
KELLEY BRINSKY DO
Family Medicine
400 SEAPORT CT STE 203
REDWOOD CITY, CA 94063
San Mateo County (650) 267-2098
PALM & NEEDLE MEDICAL CLINIC
Family Medicine
400 SEAPORT CT STE 203
REDWOOD CITY, CA 94063
San Mateo County (650) 977-4518
MARIE DENISE BANARES KAN MD
Internal Medicine
400 SEAPORT CT STE 203
REDWOOD CITY, CA 94063
San Mateo County (650) 727-1940

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 Mission Osteopathy Medical Clinic, PC's NPI number?

The NPI number for Mission Osteopathy Medical Clinic, PC is 1184504318. It was assigned to this organization in the NPPES registry on September 8, 2025.

Where is Mission Osteopathy Medical Clinic, PC located?

Mission Osteopathy Medical Clinic, PC is located at 400 Seaport Ct Ste 203, Redwood City, CA 94063. The listed phone number is (650) 640-2430.

What is Mission Osteopathy Medical Clinic, PC's specialty?

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

Does Mission Osteopathy Medical Clinic, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2338245) is associated with this NPI, valid through February 5, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mission Osteopathy Medical Clinic, PC was last updated on September 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.