Washington Newark Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

WASHINGTON NEWARK MEDICAL GROUP

Practice address

35500 Dumbarton CT
Newark, CA 94560-1127

Phone

(510) 797-7535

Fax

(510) 797-0236

NPI assigned

Jun 2, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Diane Adams

Title

Clinic Manager

Phone

(510) 797-7535

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Washington Clinic/Newark Other name

Tax ID family

Washington Clinicnewark2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Washington Newark Medical Group

  • Family Medicine Physician
  • Fremont, CA
  • NPI 1225146970
  NPD tax ID

Locations

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164460226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35500 DUMBARTON CT",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945601127",
            "telephone_number": "510-797-7535",
            "fax_number": "510-797-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35500 DUMBARTON CT",
            "city": "NEWARK",
            "state": "CA",
            "postal_code": "945601127",
            "telephone_number": "510-797-7535",
            "fax_number": "510-797-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON NEWARK MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "510-797-7535",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0085450",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Clinic/Newark",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Christopher Marcell Walker
• Richard Martin Walus
• Chijian Wang
• Jiangtong Wang
• Rocky Wang, PT, DPT
• Daionne Washington
• Earlasha Unique Washington
• Caprice Shante Watson
• Maliah Larissa Watson
• Wayne Halstrom Optometry, Inc.

• Family Medicine Physician in Newark, CA
• Providers in Newark, 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.