1. Home
  2. Directory
  3. California
  4. Angels Camp
  5. Clinic Center
  6. NPI Profile

FAMILY MEDICAL CENTER - ANGELS CAMP
NPI 1942362561
Clinic/Center - Rural Health in Angels Camp, CA

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: June 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 9, 2020, May 12, 2016 (2 updates tracked since 2016).

About Family Medical Center - Angels Camp NPPES

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

FAMILY MEDICAL CENTER - ANGELS CAMP (NPI 1942362561) 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 Chris Roberts, Chief Financial Officer, 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 RoadSan Andreas, CA 95249-9707 · (209) 754-2520 · Fax (209) 754-2681
Phone(209) 736-0813
Fax(209) 736-9088
Organization SubpartYes
Authorized OfficialChris RobertsChief Financial Officer · (209) 754-2614
Enumeration DateDecember 14, 2006
Last NPPES UpdateJune 9, 20202 updates tracked since enumeration
NPPES CertifiedJune 9, 2020
✔ 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 1

Doing Business AsFamily Medical Center - Angels Camp

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.

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 June 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.