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WEST COAST FAMILY MEDICAL CARE
NPI 1285631416
Family Medicine in Clearwater, FL

Active since July 01, 2005CLIA 10D0966030 · Waiver
3165 N MCMULLEN BOOTH RD, SUITE H, CLEARWATER, FL 33761(727) 787-3911(727) 786-2272 Get Directions Write a Review

NPPES record last updated: October 13, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About West Coast Family Medical Care NPPES

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

WEST COAST FAMILY MEDICAL CARE (NPI 1285631416) is a healthcare organization registered as a family medicine in Clearwater, Florida and active in the NPI registry since July 2005. The organization holds a CLIA Waiver certificate valid through October 5, 2027 and lists David L Hicks, Physician/ceo, as its authorized official.

NPPES Registry Identity

NPI1285631416
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameQUANTUM GENESIS INC.
Location Address3165 N MCMULLEN BOOTH RD, SUITE HClearwater, FL 33761-2032
Mailing Address3165 N Mcmullen Booth Rd, Suite HClearwater, FL 33761-2032 · (727) 787-3911 · Fax (727) 786-2272
Phone(727) 787-3911
Fax(727) 786-2272
Organization SubpartNo
Authorized OfficialDavid L HicksPhysician/ceo · (727) 787-3911
Enumeration DateJuly 1, 2005
Last NPPES UpdateOctober 13, 2016
✔ NPI 1285631416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · OS4796
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.
3165 N MCMULLEN BOOTH RD, Clearwater, FL 33761
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Other Names 1

Doing Business AsWest Coast Family Medical Care

Other Identifiers 2

Medicare PINK6692FL
Medicare UPIND60708FL

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)

West Coast Family Medical Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to West Coast Family Medical Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

David Hicks, D.O.
Family Practice
NPI 1093904815
3165 N MCMULLEN BOOTH RD SUITE H
Clearwater, FL 33761
(727) 787-3911
✔ PECOS✔ Accepts MedicareSame address
Laronda Lang, ARNP
Nurse Practitioner
NPI 1154850683
1435 S OSPREY AVE STE 101
Sarasota, FL 34239
(941) 316-1550
✔ PECOS✔ Accepts Medicare50 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 of Waiver 10D0966030

West Coast Family Medical Care · Clearwater, FL
Active · expires Oct 5, 2027
CLIA Number10D0966030
Laboratory TypePhysician Office
Certificate Effective DateOctober 6, 2025
Certificate Expiration DateOctober 5, 2027
Laboratory DirectorDavid L. Hicks
Laboratory Phone(727) 787-3911
Laboratory LocationWest Coast Family Medical Care3165 Mcmullen Booth Rd Ste H, Clearwater, FL 33761
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only 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 Quantum Genesis Inc.'s NPI number?

The NPI number for Quantum Genesis Inc. is 1285631416. It was assigned to this organization in the NPPES registry on July 1, 2005. The provider is doing business as West Coast Family Medical Care.

Where is Quantum Genesis Inc. located?

Quantum Genesis Inc. is located at 3165 N Mcmullen Booth Rd Suite H, Clearwater, FL 33761. The listed phone number is (727) 787-3911.

What is Quantum Genesis Inc.'s specialty?

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

Is Quantum Genesis Inc. enrolled in Medicare?

Yes. Quantum Genesis Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Quantum Genesis Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Quantum Genesis 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, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Quantum Genesis Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D0966030) is associated with this NPI, valid through October 5, 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 Quantum Genesis Inc. was last updated on October 13, 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.