Windsor Primary Care Medical Group Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WINDSOR PRIMARY CARE MEDICAL GROUP INC

Practice address

8465 Old Redwood Hwy
#320
Windsor, CA 95492

Phone

(707) 838-6685

Fax

(707) 838-6686

NPI assigned

Jan 24, 2006

Organization subpart

No

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

Authorized official

Name

Barbara L Turner, MD

Title

President

Phone

(707) 838-6685

Specialties & licenses 1

Addresses

Other identifiers 3

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ray E Broggini, MD

  • Emergency Medicine Physician
  • Honokaa, HI
  • NPI 1275510653
  NPD (past)

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

{
    "created_epoch": "1138060800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093785826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8465 OLD REDWOOD HWY",
            "address_2": "#320",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "95492",
            "telephone_number": "707-838-6685",
            "fax_number": "707-838-6686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8465 OLD REDWOOD HWY",
            "address_2": "#320",
            "city": "WINDSOR",
            "state": "CA",
            "postal_code": "95492",
            "telephone_number": "707-838-6685",
            "fax_number": "707-838-6686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDSOR PRIMARY CARE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TURNER",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "707-838-6685",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "ZZZ01370Z",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0091420",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "CJ5313",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jillian Webb, MSW
• Whole Child Occupational Therapy PC
• Lawrence James Williamson, M.D.
• Curtis Gregory Wiltermood
• Windsor House 2
• Windsor Unified School District
• Alicia Wolf, MFT
• Vivian Emily Worn, MD
• Eva Marie Zazueta-Lara, PHN, WHNP

• Family Medicine Physician in Windsor, CA
• Providers in Windsor, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.