NPIMap

Organization Active NPI

Washington Township Medical Group, Inc.

  • Sleep Disorder Diagnostic Clinic/Center
  • Fremont, CA
National Provider Identifier
1104063916
Registry record updated Jan 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Disorder Diagnostic Clinic/CenterTaxonomy code 261QS1200X
License
A99610 Issued in CA
Legal business name
WASHINGTON TOWNSHIP MEDICAL GROUP, INC.
Practice address
2299 Mowry Ave
Suite 200
Fremont, CA 94538-1621
Phone
(510) 608-6050
Fax
(510) 608-6055
NPI assigned
Jan 15, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2009

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

Authorized official

Name
Albert L. Brooks, M.D.NPI 1568514891
Title
President
Phone
(510) 795-2026

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)CodeLicenseStatePrimary
Sleep Disorder Diagnostic Clinic/Center 261QS1200X A99610 CA Primary

Addresses

Primary practice location

2299 Mowry Ave
Suite 200
Fremont, CA 94538-1621

Mailing address

38719 Stivers St
Fremont, CA 94536-5337
Phone (510) 608-6050

Other names 1

  • Washington Township Center for Sleep Disorders Doing business as

National Provider Directory

National Provider Directory

Locations

46690 Mohave Dr
Fremont, CA 94539
Phone (510) 248-1065

2299 Mowry Ave
Ste 200
Fremont, CA 94538
Phone (510) 608-6050

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1231977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231977600000",
    "number": "1104063916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38719 STIVERS ST",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365337",
            "telephone_number": "510-608-6050",
            "fax_number": "510-608-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2299 MOWRY AVE",
            "address_2": "SUITE 200",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381621",
            "telephone_number": "510-608-6050",
            "fax_number": "510-608-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON TOWNSHIP MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-15",
        "last_updated": "2009-01-15",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "ALBERT",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "510-795-2026",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "CA",
            "license": "A99610",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Township Center for Sleep Disorders",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2009; 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.