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PACIFIC FAMILY MEDICINE CLINIC INC
NPI 1356723605
Specialist in Millbrae, CA

Active since June 23, 2015CLIA 05D2102544 · Waiver
1001 BROADWAY STE 302, MILLBRAE, CA 94030(650) 689-5431 Get Directions Write a Review

NPPES record last updated: January 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 7, 2026, Nov 12, 2015 (2 updates tracked since 2015).

About Pacific Family Medicine Clinic Inc NPPES

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

PACIFIC FAMILY MEDICINE CLINIC INC (NPI 1356723605) is a healthcare organization registered as a specialist in Millbrae, California and active in the NPI registry since June 2015. The organization holds a CLIA Waiver certificate valid through September 23, 2027 and lists Thanh Huynh, Md, as its authorized official.

NPPES Registry Identity

NPI1356723605
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NamePACIFIC FAMILY MEDICINE CLINIC INC
Location Address1001 BROADWAY STE 302Millbrae, CA 94030-1978
Mailing Address1001 Broadway, Suite 302Millbrae, CA 94030-1977 · (650) 689-5431
Phone(650) 689-5431
Organization SubpartNo
Authorized OfficialThanh HuynhMd · (650) 689-5431
Enumeration DateJune 23, 2015
Last NPPES UpdateJanuary 7, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 7, 2026
✔ NPI 1356723605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1001 BROADWAY STE 302, Millbrae, CA 94030
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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)

Pacific Family Medicine Clinic Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Pacific Family Medicine Clinic Inc, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Thanh Huynh, MD
Family Practice
NPI 1962463026
1501 TROUSDALE DR
Burlingame, CA 94010
(650) 696-5400
✔ PECOS✔ Accepts Medicare1.2 mi
Harpreet Singh
Nurse Practitioner
NPI 1417710682
211 MANSFIELD DR
South San Francisco, CA 94080
(650) 438-1361
✔ PECOS✔ Accepts Medicare5.1 mi
Edna Yee, NURSE PRACTITIONER
Nurse Practitioner
NPI 1205975497
1 SHRADER ST STE 550
San Francisco, CA 94117
(415) 387-8031
✔ PECOS✔ Accepts Medicare12 mi
Jadie Chi, NP
Nurse Practitioner
NPI 1952920316
3145 GEARY BLVD # 55
San Francisco, CA 94118
(415) 828-9582
✔ PECOS✔ Accepts Medicare13 mi
Marjorie Smith, M.D.
Internal Medicine
NPI 1386734747
2300 SUTTER ST SUITE 304
San Francisco, CA 94115
(415) 248-1050
✔ PECOS✔ Accepts Medicare13 mi
Elden Kim, F.N.P.
Nurse Practitioner
NPI 1942907514
4766 CALCAGNO CT
Dublin, CA 94568
(415) 961-4555
✔ PECOS✔ Accepts Medicare32 mi
Saul Tapia Ruiz
Family Practice
NPI 1588238513
1441 CONSTITUTION BLVD
Salinas, CA 93906
(831) 755-4123
✔ PECOS✔ Accepts Medicare76 mi
Lawrence Riemer, MD
Internal Medicine
NPI 1700974813
100 LAKE TRAVERSE DR
Sisseton, SD 57262
(605) 698-7606
✔ PECOS1,419 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 05D2102544

Pacific Family Medicine Clinic · Millbrae, CA
Active · expires Sep 23, 2027
CLIA Number05D2102544
Laboratory TypePhysician Office
Certificate Effective DateSeptember 24, 2025
Certificate Expiration DateSeptember 23, 2027
Laboratory DirectorThanh H. Huynh, MD
Laboratory Phone(612) 281-0062
Laboratory LocationPacific Family Medicine Clinic1001 Broadway Ste 302, Millbrae, CA 94030
CLIA data matches this NPI record on: Address Name
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 Pacific Family Medicine Clinic Inc's NPI number?

The NPI number for Pacific Family Medicine Clinic Inc is 1356723605. It was assigned to this organization in the NPPES registry on June 23, 2015.

Where is Pacific Family Medicine Clinic Inc located?

Pacific Family Medicine Clinic Inc is located at 1001 Broadway Ste 302, Millbrae, CA 94030. The listed phone number is (650) 689-5431.

What is Pacific Family Medicine Clinic Inc's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Pacific Family Medicine Clinic Inc enrolled in Medicare?

Yes. Pacific Family Medicine Clinic Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Pacific Family Medicine Clinic Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 3 Medicare specialties reassign their Medicare billing to Pacific Family Medicine Clinic 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 Nurse Practitioner (4), Family Practice (2) and Internal Medicine (2). Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Pacific Family Medicine Clinic Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2102544) is associated with this NPI, valid through September 23, 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 Pacific Family Medicine Clinic Inc was last updated on January 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.