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FAMILY MEDICAL CENTER - SAN ANDREAS
NPI 1205002938
Clinic/Center - Rural Health in San Andreas, CA

Active since May 02, 2008CLIA Certified · 2 labs
704 MOUNTAIN RANCH RD, SAN ANDREAS, CA 95249(209) 754-3521 Get Directions Write a Review

NPPES record last updated: May 12, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Family Medical Center - San Andreas NPPES

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

FAMILY MEDICAL CENTER - SAN ANDREAS (NPI 1205002938) is a healthcare organization registered as a rural health in San Andreas, California and active in the NPI registry since May 2008. The organization holds 2 active CLIA laboratory certificates and lists Chris Roberts, Cfo, as its authorized official.

NPPES Registry Identity

NPI1205002938
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NameMARK TWAIN MEDICAL CENTER
Location Address704 MOUNTAIN RANCH RDSan Andreas, CA 95249-9707
Mailing Address768 Mountain Ranch RdSan Andreas, CA 95249-9707 · (209) 754-3521
Phone(209) 754-3521
Organization SubpartYes
Authorized OfficialChris RobertsCfo · (209) 754-2614
Enumeration DateMay 2, 2008
Last NPPES UpdateMay 12, 2016
✔ NPI 1205002938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
704 MOUNTAIN RANCH RD, San Andreas, CA 95249
Open in Google Maps ↗

Other Names 1

Doing Business AsFamily Medical Center - San Andreas

Other Identifiers 1

Medicare OSCAR/certification058940CA

CLIA Laboratory Certificates CMS CLIA 2

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 Accreditation 05D0609782

Mark Twain Medical Center · San Andreas, CA
Active · expires Aug 16, 2027
CLIA Number05D0609782
Laboratory TypeHospital
Certificate Effective DateAugust 17, 2025
Certificate Expiration DateAugust 16, 2027
Laboratory DirectorAndrew Fong
Laboratory Phone(209) 754-2536
Laboratory LocationMark Twain Medical Center768 Mountain Ranch Rd, San Andreas, CA 95249
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 05D2001819

Family Medical Center - San Andreas · San Andreas, CA
Active · expires Jun 30, 2028
CLIA Number05D2001819
Laboratory TypeRural Health Clinic
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorDean M. Kelaita
Laboratory Phone(209) 754-4564
Laboratory LocationFamily Medical Center - San Andreas702 Mountain Ranch Rd, San Andreas, CA 95249
CLIA data matches this NPI record on: Name
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 5

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

KAREN PEKARCIK LCSW 80071
Social Worker (Clinical)
704 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6525
KAREN KARAM LCSW
Social Worker (Clinical)
704 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
Calaveras County (209) 754-4410
MARIA Z MICHNOWSKA M.D.
Internal Medicine
704 MOUNTAIN RANCH RD, SUITE 103
SAN ANDREAS, CA 95249
Calaveras County (209) 754-4564
SAN ANDREAS SLEEP DISORDERS MEDICAL GROUP, INC
Internal Medicine (Sleep Medicine)
704 MOUNTAIN RANCH RD, SUITE 205
SAN ANDREAS, CA 95249
Calaveras County (209) 754-5374
ADRIANNA C CASTLE
Student in an Organized Health Care Education/Training Program
704 MOUNTAIN RANCH RD
SAN ANDREAS, CA 95249
Calaveras County (209) 754-6525

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 Mark Twain Medical Center's NPI number?

The NPI number for Mark Twain Medical Center is 1205002938. It was assigned to this organization in the NPPES registry on May 2, 2008. The provider is doing business as Family Medical Center - San Andreas.

Where is Mark Twain Medical Center located?

Mark Twain Medical Center is located at 704 Mountain Ranch Rd, San Andreas, CA 95249. The listed phone number is (209) 754-3521.

What is Mark Twain Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Mark Twain Medical Center hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Mark Twain Medical Center was last updated on May 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.