Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MARK TWAIN MEDICAL CENTER
NPI 1942362561
Clinic/Center - Rural Health in Angels Camp, CA

Q: What is Mark Twain Medical Center's NPI number?

The NPI number for Mark Twain Medical Center is 1942362561. It was assigned to this organization in the NPPES registry on December 14, 2006. The provider is doing business as Family Medical Center - Angels Camp and James Dalton Medical Office.

Q: What is Mark Twain Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Active since December 14, 2006CLIA 05D0963207 · Waiver

590 STANISLAUS AVENUE, ANGELS CAMP, CA 95222(209) 736-0813(209) 736-9088 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 11, 2026, Jun 9, 2020, May 12, 2016 (3 updates tracked since 2016).

On this page

About Mark Twain Medical Center NPPES

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

MARK TWAIN MEDICAL CENTER (NPI 1942362561), doing business as Family Medical Center - Angels Camp, is a healthcare organization registered as a rural health in Angels Camp, California and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through January 26, 2028 and lists Scott Banks, Cfo, as its authorized official.

NPPES Registry Identity

NPI1942362561

Entity TypeOrganization

Primary Taxonomy261QR1300X

Legal Business NameMARK TWAIN MEDICAL CENTER

Location Address590 STANISLAUS AVENUEAngels Camp, CA 95222-0000

Mailing Address768 Mountain Ranch RdSan Andreas, CA 95249-9707 · (209) 754-2520 · Fax (209) 942-3459

Phone(209) 736-0813

Fax(209) 736-9088

Organization SubpartYesParent: Dignity Community Care

Authorized OfficialScott BanksCfo · (209) 754-2613

Enumeration DateDecember 14, 2006

Last NPPES UpdateAugust 11, 20263 updates tracked since enumeration

NPPES CertifiedAugust 11, 2026

✔ NPI 1942362561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities

Taxonomy Code261QR1300X

License✔ Licensed in CA · 030000058

590 STANISLAUS AVENUE, Angels Camp, CA 95222

Open in Google Maps ↗

Other Names 2

Doing Business AsFamily Medical Center - Angels Camp

Doing Business AsJames Dalton Medical Office

Other Identifiers 2

MedicaidRHM18574FCA

OtherZZZ61267ZBlue Shield Of Ca

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 05D0963207

Family Medical Center - Copperopolis · Copperopolis, CA

Active · expires Jan 26, 2028

CLIA Number05D0963207

Laboratory TypeRural Health Clinic

Certificate Effective DateJanuary 27, 2026

Certificate Expiration DateJanuary 26, 2028

Laboratory DirectorDean M. Kelaita MD

Laboratory Phone(209) 754-2520

Laboratory LocationFamily Medical Center - Copperopolis430 Sawmill Creek, Copperopolis, CA 95228

CLIA data matches this NPI record on: Phone

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 Mark Twain Medical Center's NPI number?

The NPI number for Mark Twain Medical Center is 1942362561. It was assigned to this organization in the NPPES registry on December 14, 2006. The provider is doing business as Family Medical Center - Angels Camp and James Dalton Medical Office.

Where is Mark Twain Medical Center located?

Mark Twain Medical Center is located at 590 Stanislaus Avenue, Angels Camp, CA 95222. The listed phone number is (209) 736-0813.

What is Mark Twain Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

Does Mark Twain Medical Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0963207) is associated with this NPI, valid through January 26, 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 Mark Twain Medical Center was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days 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.