California Clia Consultant LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

CALIFORNIA CLIA CONSULTANT LLC

Practice address

5805 Capistrano Ave Ste C
Atascadero, CA 93422-7218

Phone

(805) 801-9997

NPI assigned

Dec 31, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Jason D Kendall

Title

CLS

Phone

(805) 801-9997

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609372800000",
    "number": "1699363044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 CAPISTRANO AVE STE C",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934227218",
            "telephone_number": "805-801-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5805 CAPISTRANO AVE STE C",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934227218",
            "telephone_number": "805-801-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CALIFORNIA CLIA CONSULTANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A",
        "authorized_official_last_name": "KENDALL",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CLS",
        "authorized_official_telephone_number": "805-801-9997",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• C Kevin Farr, DMD PC
• Kobie Tyler Cabalar
• Lisa Marie Cady, R.N.
• Karina Cain, LCSW
• Debra Marie Califia, MA
• Brianna Calvert, LCSW
• Deja Shante Camacho
• Lilina R. Camello, LMFT
• Kenneth Lawrence Campos, M.D.
• Kristin Read Campos, PH.D.

• Clinical Medical Laboratory in Atascadero, CA
• Providers in Atascadero, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.