PISMO FAMILY PRACTICE
NPI 1497746473
Family Medicine in Pismo Beach, CA
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, 2028 and lists Wendy Eve Weiss, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 6
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Pismo Family Practice is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Pismo Family Practice, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.
Clinicians, nearest first (3)
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) 05D0587325
Pismo Family Practice · Pismo Beach, CAFrequently 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.
Is Pismo Family Practice Medical Corporation A Ca Prof Medical Corp enrolled in Medicare?
Yes. Pismo Family Practice Medical Corporation A Ca Prof Medical Corp is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Pismo Family Practice Medical Corporation A Ca Prof Medical Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Pismo Family Practice Medical Corporation A Ca Prof Medical Corp, 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, 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 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.
# Pismo Family Practice · NPI 1497746473
Family Medicine organization in Pismo Beach, California. Organization record, active in the CMS NPPES registry since October 31, 2005.
## Identity
- **NPI:** 1497746473 (Entity type: Organization)
- **Enumerated:** October 31, 2005
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** Pismo Family Practice Medical Corporation A Ca Prof Medical Corp
- **Organization subpart:** No
- **Authorized official:** Wendy Weiss, PRESIDENT
## Practice location
- **Address:** 575 PRICE ST, SUITE 101, Pismo Beach, CA 93449-2553
- **Phone:** (805) 773-0707 · **Fax:** (805) 773-2051
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Family Practice (1); 3 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 25, 2016
- **Other identifiers:** Medicaid GR0080750 (CA); Medicare PIN CN3854 (CA); Medicare PIN CL581 (CA); and 3 more
- **CLIA laboratory certificates:** 1 on file
---
Source: [NPI Profile](https://npiprofile.com/npi/1497746473) · Data from the CMS NPPES public registry.