NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Pismo Family Practice Medical Corporation A Ca Prof Medical Corp

Family Medicine Physician in Pismo Beach, CA · enumerated 2005 · authorized official Wendy Weiss, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497746473

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name Pismo Family Practice Medical Corporation A Ca Prof Medical Corp
Other name <Unavail>
Practice address 575 Price St, Suite 101, Pismo Beach, CA, 93449
Phone (805) 773-0707
Fax (805) 773-2051
Enumeration date Oct 31, 2005
Last updated in NPPES Jan 25, 2016

Taxonomy & classification

207Q00000X Family Medicine Physician Allopathic & Osteopathic Physicians · License 20A0436 (CA) Primary

Authorized official

Name Wendy Weiss
Title President
Phone (805) 773-0707

Other identifiers

Identifier Type State Issuer
C1962153 Other CA STATE CORPORATION NUMBER
ZZZ48888Z Other CA BLUE SHIELD GROUP NUMBER
GR0080750 Medicaid CA -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2016-01-25. Verify at npiregistry.cms.hhs.gov.
Where is Pismo Family Practice Medical Corporation A Ca Prof Medical Corp located?
The practice location on file with NPPES is in Pismo Beach, CA.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2016-01-25.