Active NPI
Med-Stops Medical Clinic, Inc.
- Emergency Care Clinic/Center
- San Luis Obispo, CA
National Provider Identifier
1295718849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- License
- 22211568
- Legal business name
- MED-STOPS MEDICAL CLINIC, INC.
- Practice address
- 283 Madonna Rd
Suite B
San Luis Obispo, CA 93405-5432 - Phone
- (805) 549-8880
- Fax
- (805) 783-2009
- NPI assigned
- Nov 28, 2005
- 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. Brian M. Roberts, M.D.
- Title
- Owner
- Phone
- (805) 549-8880
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | 22211568 | CA | Primary |
Addresses
Primary practice location
283 Madonna Rd
Suite B
San Luis Obispo, CA 93405-5432
Mailing address
283 Madonna Rd
Suite B
San Luis Obispo, CA 93405-5432
Phone (805) 549-8880
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 184356300 | Other | USDL/ACS | |
| ZZZ00436Z | Other | CA | BLUE SHIELD OF CALIFORNIA |
| 5482188 | Other | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031117000873 | CA | Part B Supplier - Clinic/Group Practice | 9537073242 |
Receives reassigned benefits from 18 practitioners Practice locations: San Luis Obispo, CA |
National Provider Directory
National Provider DirectoryLocations
416 Spring St
Ste 101
Paso Robles, CA 93446
Phone (805) 226-4222
Practitioners & affiliated clinicians
Practitioners 23
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Emergency Medicine Physician
- San Luis Obispo, CA
- NPI 1114131489
CA, Multi-Specialty
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bakersfield, CA
- NPI 1902110984
CA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133136000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756252800000",
"number": "1295718849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "283 MADONNA RD",
"address_2": "SUITE B",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934055432",
"telephone_number": "805-549-8880",
"fax_number": "805-783-2009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "283 MADONNA RD",
"address_2": "SUITE B",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934055432",
"telephone_number": "805-549-8880",
"fax_number": "805-783-2009"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED-STOPS MEDICAL CLINIC, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-28",
"last_updated": "2025-08-27",
"certification_date": "2025-08-27",
"status": "A",
"authorized_official_last_name": "ROBERTS",
"authorized_official_first_name": "BRIAN",
"authorized_official_middle_name": "M.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "805-549-8880",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": "CA",
"license": "22211568",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "USDL/ACS",
"identifier": "184356300",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "ZZZ00436Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5482188",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.