Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Pismo Family Practice Medical Corporation a Ca Prof Medical Corp

Organization Family Medicine Physician · NPI 1497746473

Pismo Family Practice Medical Corporation a Ca Prof Medical Corp provides Family Medicine Physician services in Pismo Beach, California. Licensed in California. Registered with an NPI since 2005.

Licensed in
CA
In the registry since
2005
What do these letters mean?
Corp — Corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

575 Price St Ste 101
Pismo Beach, CA 93449-2553 Not confirmed with CMS for 10 years — call before visiting
Phone: (805) 773-0707
Fax: (805) 773-2051
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 20A0436 (CA)

Record details

NPI number1497746473
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wendy Weiss — President · (805) 773-0707
Other names Pismo Family Practice
NPI enumeratedOctober 31, 2005
Last updated in NPPESJanuary 25, 2016
Mailing address575 Price St, Suite 101, Pismo Beach, CA 93449-2553

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