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LAS TABLAS MEDICAL GROUP,INC
NPI 1205994977
Family Medicine in Paso Robles, CA

Active since December 05, 2006CLIA 05D0587284 · Waiver
2120 GOLDEN HILL RD, SUITE 102, PASO ROBLES, CA 93446(805) 434-2900(805) 434-2928 Get Directions Write a Review

NPPES record last updated: June 24, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Las Tablas Medical Group,inc NPPES

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

LAS TABLAS MEDICAL GROUP,INC (NPI 1205994977), doing business as Las Tablas Medical Group, is a healthcare organization registered as a family medicine in Paso Robles, California and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through August 1, 2027 and lists Norma J Smith, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1205994977
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAS TABLAS MEDICAL GROUP,INC
Location Address2120 GOLDEN HILL RD, SUITE 102Paso Robles, CA 93446-7047
Mailing Address2120 Golden Hill Rd, Suite 102Paso Robles, CA 93446-7047 · (805) 434-2900 · Fax (805) 434-2928
Phone(805) 434-2900
Fax(805) 434-2928
Organization SubpartNo
Authorized OfficialNorma J SmithOffice Manager · (805) 434-2900
Enumeration DateDecember 5, 2006
Last NPPES UpdateJune 24, 2026
NPPES CertifiedJune 24, 2026
✔ NPI 1205994977 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.
2120 GOLDEN HILL RD, Paso Robles, CA 93446
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Other Names 1

Doing Business AsLas Tablas Medical Group

Other Identifiers 1

OtherW20497CA · Ptan

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 MULTIPLE 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 05D0587284

Las Tablas Medical Group · Paso Robles, CA
Active · expires Aug 1, 2027
CLIA Number05D0587284
Laboratory TypePhysician Office
Certificate Effective DateAugust 2, 2025
Certificate Expiration DateAugust 1, 2027
Laboratory DirectorScott M. Greaves
Laboratory Phone(805) 434-2900
Laboratory LocationLas Tablas Medical Group2120 Golden Hill Rd Ste 102, Paso Robles, CA 93446
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only 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.

JOSEPH D BETTENCOURT MD INC
Family Medicine
2120 GOLDEN HILL RD, SUITE 202
PASO ROBLES, CA 93446
San Luis Obispo County (805) 434-2240

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 Las Tablas Medical Group,inc's NPI number?

The NPI number for Las Tablas Medical Group,inc is 1205994977. It was assigned to this organization in the NPPES registry on December 5, 2006. The provider is doing business as Las Tablas Medical Group.

Where is Las Tablas Medical Group,inc located?

Las Tablas Medical Group,inc is located at 2120 Golden Hill Rd Suite 102, Paso Robles, CA 93446. The listed phone number is (805) 434-2900.

What is Las Tablas Medical Group,inc's specialty?

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

Does Las Tablas Medical Group,inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0587284) is associated with this NPI, valid through August 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 Las Tablas Medical Group,inc was last updated on June 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.