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FAMILY & INDUSTRIAL MEDICAL CENTER, INC.
NPI 1235262734
Family Medicine in San Luis Obispo, CA

Active since March 13, 2007CLIA 05D0864723 · Microscopy
47 SANTA ROSA ST, SAN LUIS OBISPO, CA 93405(805) 542-9596(805) 542-0845 Get Directions Write a Review

NPPES record last updated: June 16, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Family & Industrial Medical Center, Inc. NPPES

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

FAMILY & INDUSTRIAL MEDICAL CENTER, INC. (NPI 1235262734) is a healthcare organization registered as a family medicine in San Luis Obispo, California and active in the NPI registry since March 2007. The organization holds a CLIA Microscopy certificate valid through April 6, 2028 and lists Barbara M Landis, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1235262734
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameFAMILY & INDUSTRIAL MEDICAL CENTER, INC.
Location Address47 SANTA ROSA STSan Luis Obispo, CA 93405-5816
Mailing Address47 Santa Rosa StSan Luis Obispo, CA 93405-5816 · (805) 542-9596 · Fax (805) 542-0845
Phone(805) 542-9596
Fax(805) 542-0845
Organization SubpartNo
Authorized OfficialBarbara M LandisOffice Manager · (805) 547-1255
Enumeration DateMarch 13, 2007
Last NPPES UpdateJune 16, 2014
✔ NPI 1235262734 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.
47 SANTA ROSA ST, San Luis Obispo, CA 93405
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Other Identifiers 3

OtherZZZ27461ZCA · Blue Shield
Medicare NSC1181580001CA
Medicare PINW14897

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)

Family & Industrial Medical Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Family & Industrial Medical Center, Inc., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Gary Raymond, FNP
Nurse Practitioner
NPI 1134171390
47 SANTA ROSA ST 47 SANTA ROSA
San Luis Obispo, CA 93405
(805) 542-9596
✔ PECOS✔ Accepts MedicareSame address
Nancy Walden, FNP
Nurse Practitioner
NPI 1275739245
CAL POLY STATE HEALTH CENTER 1 GRAND AVE BUILDING 27
San Luis Obispo, CA 93407
(805) 756-1211
✔ PECOS✔ Accepts Medicare0.5 mi
Mark Ward, MD
Family Practice
NPI 1639110257
355 LAS VEGAS ST
Morro Bay, CA 93442
(805) 772-7100
✔ PECOS✔ Accepts Medicare13 mi
Rina Kadakia, MD
Family Practice
NPI 1700946332
290 REDWOOD SHORES PKWY
Redwood City, CA 94065
(209) 603-8524
✔ PECOS✔ Accepts Medicare177 mi
Jack St Clair, M.D.
Family Practice
NPI 1184681298
14540 MONO WAY
Sonora, CA 95370
(209) 743-7084
✔ PECOS✔ Accepts Medicare186 mi

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) 05D0864723

Family & Industrial Medical Center Inc · San Luis Obispo, CA
Active · expires Apr 6, 2028
CLIA Number05D0864723
Laboratory TypePhysician Office
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorFrank Mazzone MD
Laboratory Phone(805) 542-9596
Laboratory LocationFamily & Industrial Medical Center Inc47 Santa Rosa St, San Luis Obispo, CA 93405
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 Family & Industrial Medical Center, Inc.'s NPI number?

The NPI number for Family & Industrial Medical Center, Inc. is 1235262734. It was assigned to this organization in the NPPES registry on March 13, 2007.

Where is Family & Industrial Medical Center, Inc. located?

Family & Industrial Medical Center, Inc. is located at 47 Santa Rosa St, San Luis Obispo, CA 93405. The listed phone number is (805) 542-9596.

What is Family & Industrial Medical Center, Inc.'s specialty?

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

Is Family & Industrial Medical Center, Inc. enrolled in Medicare?

Yes. Family & Industrial Medical Center, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Family & Industrial Medical Center, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Family & Industrial Medical Center, Inc.. 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. The largest specialties are Family Practice (3) and Nurse Practitioner (2). Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Family & Industrial Medical Center, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0864723) is associated with this NPI, valid through April 6, 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 Family & Industrial Medical Center, Inc. was last updated on June 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.