WELLBRIDGE MEDICAL INC.
NPI 1912681354
Clinic/Center - Primary Care in Los Osos, CA
About Wellbridge Medical Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELLBRIDGE MEDICAL INC. (NPI 1912681354) is a healthcare organization registered as a primary care in Los Osos, California and active in the NPI registry since June 2023. The organization lists Connor Vanderveer Johnson, Medical Director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wellbridge Medical Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Wellbridge Medical Inc., which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Wellbridge Medical Inc.'s NPI number?
The NPI number for Wellbridge Medical Inc. is 1912681354. It was assigned to this organization in the NPPES registry on June 14, 2023.
Where is Wellbridge Medical Inc. located?
Wellbridge Medical Inc. is located at 2500 Pecho Valley Rd, Los Osos, CA 93402. The listed phone number is (805) 835-8865.
What is Wellbridge Medical Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Wellbridge Medical Inc. enrolled in Medicare?
Yes. Wellbridge Medical Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Wellbridge Medical Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 3 Medicare specialties reassign their Medicare billing to Wellbridge Medical 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 (3), Hospitalist (1) and Physical Therapist in Private Practice (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Wellbridge Medical Inc. was last updated on May 3, 2024. 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.
# Wellbridge Medical Inc. · NPI 1912681354
Primary Care organization in Los Osos, California. Organization record, active in the CMS NPPES registry since June 14, 2023.
## Identity
- **NPI:** 1912681354 (Entity type: Organization)
- **Enumerated:** June 14, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Connor Johnson, MEDICAL DIRECTOR
## Practice location
- **Address:** 2500 PECHO VALLEY RD, Los Osos, CA 93402-4104
- **Phone:** (805) 835-8865
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (3), Hospitalist (1), Physical Therapist in Private Practice (1) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 3, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1912681354) · Data from the CMS NPPES public registry.