Organization Active NPI

The Village Family Doctor

  • Primary Care Clinic/Center
  • Arroyo Grande, CA
National Provider Identifier
1235443342
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
A77911 Issued in CA
Legal business name
THE VILLAGE FAMILY DOCTOR
Practice address
207 Bridge St
Arroyo Grande, CA 93420-3311
Phone
(805) 481-1975
Fax
(866) 481-4145
NPI assigned
Jul 30, 2010
Last updated
Jul 30, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Authorized official

Name
Dr. Karin Young, M.D.
Title
Owner
Phone
(805) 481-1975

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X A77911 CA Primary

Addresses

Primary practice location

207 Bridge St
Arroyo Grande, CA 93420-3311

Mailing address

207 Bridge St
Arroyo Grande, CA 93420-3311
Phone (805) 481-1975

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2013934The Village Family Doctor, LLC207 Bridge St, Arroyo Grande, CA 93420Certificate of waiverSep 27, 2026

National Provider Directory

National Provider Directory

Locations

207 Bridge St
Arroyo Grande, CA 93420
Phone (805) 481-1975

Practitioners & affiliated clinicians

Practitioners 1

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": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280448000000",
    "number": "1235443342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 BRIDGE ST",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203311",
            "telephone_number": "805-481-1975",
            "fax_number": "866-481-4145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 BRIDGE ST",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203311",
            "telephone_number": "805-481-1975",
            "fax_number": "866-481-4145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE VILLAGE FAMILY DOCTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-07-30",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "KARIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "805-481-1975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "A77911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo Grande, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.