Active NPI
The Village Family Doctor
- Primary Care Clinic/Center
- Arroyo Grande, CA
National Provider Identifier
1235443342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- License
- A77911
- 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, 2010
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2013934 | The Village Family Doctor, LLC | Certificate of waiver | Sep 27, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Arroyo Grande, CA
- NPI 1700908282
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
- Dan Terhaar, DVM
- The Pediatric Specialist
- The Pediatric Specialist
- The Pediatric Specialists Medical Group, Inc. (Pediatric Specialists)
- The Speech and Learning Coach.Com (Karyn Lutes dba The Speech And Learning Coach.com)
- Peter A Thom, MD
- Thomas D. Ferro M.D. a Medical Corporation
- Jeffrey S. Thompson, M.D.
- Teresa Thompson, RN
- Tod C Thoring, N.D.
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.