Organization Active NPI

Family Medical Group

  • Family Medicine Physician
  • Paso Robles, CA
National Provider Identifier
1164418703
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
FAMILY MEDICAL GROUP
Practice address
614 13TH St
Paso Robles, CA 93446-2229
Phone
(805) 238-2665
Fax
(805) 238-7422
NPI assigned
Sep 20, 2005
Last updated
Aug 12, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Obbie Ted Atkinson, MD
Title
Authorized Official
Phone
(805) 238-2665

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

614 13TH St
Paso Robles, CA 93446-2229

Mailing address

614 13TH St
Paso Robles, CA 93446-2229
Phone (805) 238-2665

National Provider Directory

National Provider Directory

Locations

614 13th St
Paso Robles, CA 93446
Phone (805) 238-2665

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1164418703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "614 13TH ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462229",
            "telephone_number": "805-238-2665",
            "fax_number": "805-238-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "614 13TH ST",
            "city": "PASO ROBLES",
            "state": "CA",
            "postal_code": "934462229",
            "telephone_number": "805-238-2665",
            "fax_number": "805-238-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-20",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "ATKINSON",
        "authorized_official_first_name": "OBBIE",
        "authorized_official_middle_name": "TED",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "805-238-2665",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paso Robles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.