Organization Active NPI

Middle Path Medicine

  • Primary Care Clinic/Center
  • Arroyo Grande, CA
National Provider Identifier
1497924260
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
G66487 Issued in CA
Legal business name
MIDDLE PATH MEDICINE
Practice address
180 W Le Point St
#A
Arroyo Grande, CA 93420
Phone
(805) 481-3442
Fax
(805) 481-3443
NPI assigned
Feb 26, 2008
Last updated
Sep 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Mrs. Miranda Elise Foresman
Title
Office Manager
Phone
(805) 481-3442

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X G66487 CA Primary

Addresses

Primary practice location

180 W Le Point St
#A
Arroyo Grande, CA 93420

Mailing address

180 W Le Point St
#A
Arroyo Grande, CA 93420
Phone (805) 481-3442

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
05D0996809Middle Path Medicine180 West Le Point Street, Suite a, Arroyo Grande, CA 93420Certificate of waiverFeb 29, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

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": "1203984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1497924260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 W LE POINT ST",
            "address_2": "#A",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "93420",
            "telephone_number": "805-481-3442",
            "fax_number": "805-481-3443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W LE POINT ST",
            "address_2": "#A",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "93420",
            "telephone_number": "805-481-3442",
            "fax_number": "805-481-3443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE PATH MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-26",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "FORESMAN",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "805-481-3442",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "CA",
            "license": "G66487",
            "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 Sep 21, 2011; 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.