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JOSEPH D BETTENCOURT MD INC
NPI 1386924249
Family Medicine in Paso Robles, CA

Active since August 24, 2011CLIA 05D0973925 · Waiver
2120 GOLDEN HILL RD, SUITE 202, PASO ROBLES, CA 93446(805) 434-2240(805) 434-0102 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joseph D Bettencourt Md Inc NPPES

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

JOSEPH D BETTENCOURT MD INC (NPI 1386924249) is a healthcare organization registered as a family medicine in Paso Robles, California and active in the NPI registry since August 2011. The organization holds a CLIA Waiver certificate valid through May 21, 2028 and lists Joseph D Bettencourt, President, as its authorized official.

NPPES Registry Identity

NPI1386924249
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJOSEPH D BETTENCOURT MD INC
Location Address2120 GOLDEN HILL RD, SUITE 202Paso Robles, CA 93446
Mailing Address2120 Golden Hill Rd, Suite 202Paso Robles, CA 93446 · (805) 434-2240 · Fax (805) 434-0102
Phone(805) 434-2240
Fax(805) 434-0102
Organization SubpartNo
Authorized OfficialJoseph D BettencourtPresident · (805) 434-2240
Enumeration DateAugust 24, 2011
Last NPPES UpdateSeptember 26, 2023
NPPES CertifiedSeptember 26, 2023
✔ NPI 1386924249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A67264
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 Identifiers 4

Other05D0973925CA · Clia Waived Certificate Number
Other10610CA · City Of Paso Robles Business License
OtherC3356037CA · Secretary Of State-dept Of Corporations Number
OtherCLR326953CA · Clia State Registration Number

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

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 05D0973925

Joseph D Bettencourt MD Inc · Paso Robles, CA
Active · expires May 21, 2028
CLIA Number05D0973925
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorJoseph D. Bettencourt MD
Laboratory Phone(805) 434-2240
Laboratory LocationJoseph D Bettencourt MD Inc2120 Golden Hill Rd Ste 202, 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.

LAS TABLAS MEDICAL GROUP,INC
Family Medicine
2120 GOLDEN HILL RD, SUITE 102
PASO ROBLES, CA 93446
San Luis Obispo County (805) 434-2900

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 Joseph D Bettencourt MD Inc's NPI number?

The NPI number for Joseph D Bettencourt MD Inc is 1386924249. It was assigned to this organization in the NPPES registry on August 24, 2011.

Where is Joseph D Bettencourt MD Inc located?

Joseph D Bettencourt MD Inc is located at 2120 Golden Hill Rd Suite 202, Paso Robles, CA 93446. The listed phone number is (805) 434-2240.

What is Joseph D Bettencourt MD Inc's specialty?

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

Does Joseph D Bettencourt MD Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0973925) is associated with this NPI, valid through May 21, 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 Joseph D Bettencourt MD Inc was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.