Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 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 is a Family Medicine Physician 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
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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