Individual provider Active NPI

Peter Edward Newsom, M.D.

  • Psychiatry Physician
  • Modesto, CA
National Provider Identifier
1093746166
Registry record updated Jun 18, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G065766 Issued in CA
Practice address
1001 Needham St
Modesto, CA 95354-0730
Phone
(209) 569-0373
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G065766 CA Primary

Addresses

Primary practice location

1001 Needham St
Modesto, CA 95354-0730

Mailing address

1692 El Camino Real
San Carlos, CA 94070-5208
Phone (650) 817-9070

Other practice location 1

2500 Grant Rd
Mountain View, CA 94040-4302
Phone (650) 462-9200

Other practice location 2

1692 El Camino Real
San Carlos, CA 94070-5208
Phone (650) 817-9070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050119000559 CA Practitioner - Psychiatry 7315996196 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1187 University Dr
Menlo Park, CA 94025-4423

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G065766CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Telecare Corporation CurrentSince Mar 1, 2020 Accepting new patients
Telecare Corporation Current Accepting new patients
Telecare Corporation CurrentSince Mar 1, 2020 Accepting new patients
County of Stanislaus Past Accepting new patients
Turning Point Community Programs PastSince Nov 30, 2025 Accepting new patients
Peter Newsom, M.D. Psychiatry PastSince Jan 1, 1990 Accepting new patients

Locations

1080 Marina Village Pkwy
Ste 100
Alameda, CA 94501
Phone (510) 306-5660

1692 El Camino Real
San Carlos, CA 94070
Phone (650) 416-4617

3701 Hacienda St
San Mateo, CA 94403
Phone (650) 204-9695

Interoperability endpoints

  • Direct secure messaging: pnewsom527350@direct.ochin.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781740800000",
    "number": "1093746166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1692 EL CAMINO REAL",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940705208",
            "telephone_number": "650-817-9070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 NEEDHAM ST",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953540730",
            "telephone_number": "209-569-0373"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940404302",
            "country_code": "US",
            "telephone_number": "650-462-9200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1692 El Camino Real",
            "address_purpose": "LOCATION",
            "city": "San Carlos",
            "state": "CA",
            "postal_code": "940705208",
            "country_code": "US",
            "telephone_number": "650-817-9070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEWSOM",
        "first_name": "PETER",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-06-18",
        "certification_date": "2026-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G065766",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.