LAS TABLAS MEDICAL GROUP,INC
NPI 1205994977
Family Medicine in Paso Robles, CA
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
Specialties & Licenses
Other Names 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Las Tablas Medical Group,inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Las Tablas Medical Group,inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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 of Waiver 05D0587284
Las Tablas Medical Group · Paso Robles, CAFrequently 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.
Is Las Tablas Medical Group,inc enrolled in Medicare?
Yes. Las Tablas Medical Group,inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Las Tablas Medical Group,inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Las Tablas Medical Group,inc, in Family Practice and Nurse Practitioner. 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Las Tablas Medical Group,inc · NPI 1205994977
Family Medicine organization in Paso Robles, California. Organization record, active in the CMS NPPES registry since December 5, 2006.
## Identity
- **NPI:** 1205994977 (Entity type: Organization)
- **Enumerated:** December 5, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Also known as:** Las Tablas Medical Group (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Norma Smith, OFFICE MANAGER
## Practice location
- **Address:** 2120 GOLDEN HILL RD, SUITE 102, Paso Robles, CA 93446-7047
- **Phone:** (805) 434-2900 · **Fax:** (805) 434-2928
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 24, 2026
- **Other identifiers:** Other W20497 (CA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1205994977) · Data from the CMS NPPES public registry.