1. Home
  2. Directory
  3. California
  4. Pismo Beach
  5. Family Medicine
  6. NPI Profile

PISMO FAMILY PRACTICE
NPI 1497746473
Family Medicine in Pismo Beach, CA

Active since October 31, 2005CLIA 05D0587325 · Microscopy
575 PRICE ST, SUITE 101, PISMO BEACH, CA 93449(805) 773-0707(805) 773-2051 Get Directions Write a Review

NPPES record last updated: January 25, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pismo Family Practice NPPES

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

PISMO FAMILY PRACTICE (NPI 1497746473) is a healthcare organization registered as a family medicine in Pismo Beach, California and active in the NPI registry since October 2005. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists Wendy Eve Weiss, President, as its authorized official.

NPPES Registry Identity

NPI1497746473
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NamePISMO FAMILY PRACTICE MEDICAL CORPORATION A CA PROF MEDICAL CORP
Location Address575 PRICE ST, SUITE 101Pismo Beach, CA 93449-2553
Mailing Address575 Price St, Suite 101Pismo Beach, CA 93449-2553 · (805) 773-0707 · Fax (805) 773-2051
Phone(805) 773-0707
Fax(805) 773-2051
Organization SubpartNo
Authorized OfficialWendy Eve WeissPresident · (805) 773-0707
Enumeration DateOctober 31, 2005
Last NPPES UpdateJanuary 25, 2016
✔ NPI 1497746473 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 · 20A0436
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.
575 PRICE ST, Pismo Beach, CA 93449
Open in Google Maps ↗

Other Names 1

Doing Business AsPismo Family Practice

Other Identifiers 6

MedicaidGR0080750CA
Medicare PINCN3854CA
Medicare PINCL581CA
Medicare PINW14175CA
OtherC1962153CA · State Corporation Number
OtherZZZ48888ZCA · Blue Shield Group 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 for Provider-Performed Microscopy Procedures (PPMP) 05D0587325

Pismo Family Practice · Pismo Beach, CA
Active · expires Aug 31, 2026
CLIA Number05D0587325
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorWendy E. Weiss, Do
Laboratory Phone(805) 773-0707
Laboratory LocationPismo Family Practice575 Price Street Suite 101, Pismo Beach, CA 93449
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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LUCILLE AMELIA WHITAKER 11434
Nurse Practitioner (Family)
575 PRICE ST, SUITE 313
PISMO BEACH, CA 93449
San Luis Obispo County (805) 201-9135
DR. WENDY EVE WEISS DO
Family Medicine
575 PRICE ST, SUITE 101
PISMO BEACH, CA 93449
San Luis Obispo County (805) 773-0707
KIMEN M COLGAN PA
Physician Assistant
575 PRICE ST, SUITE101
PISMO BEACH, CA 93449
San Luis Obispo County (805) 481-3685

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 Pismo Family Practice Medical Corporation A Ca Prof Medical Corp's NPI number?

The NPI number for Pismo Family Practice Medical Corporation A Ca Prof Medical Corp is 1497746473. It was assigned to this organization in the NPPES registry on October 31, 2005. The provider is doing business as Pismo Family Practice.

Where is Pismo Family Practice Medical Corporation A Ca Prof Medical Corp located?

Pismo Family Practice Medical Corporation A Ca Prof Medical Corp is located at 575 Price St Suite 101, Pismo Beach, CA 93449. The listed phone number is (805) 773-0707.

What is Pismo Family Practice Medical Corporation A Ca Prof Medical Corp's specialty?

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

Does Pismo Family Practice Medical Corporation A Ca Prof Medical Corp hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 05D0587325) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pismo Family Practice Medical Corporation A Ca Prof Medical Corp was last updated on January 25, 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.