Washington Township Medical Group

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G36600 Issued in CA

Legal business name

WASHINGTON TOWNSHIP MEDICAL GROUP

Practice address

38690 Stivers St
Suite a
Fremont, CA 94536-5279

Phone

(510) 248-1040

Fax

(510) 797-7426

NPI assigned

Jan 17, 2007

Last updated

Jun 17, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Albert L Brooks, MD

Title

President

Phone

(510) 248-1000

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Washington Township Medical Group, Inc Other name

Locations

Practitioners 87

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Harsh Agrawal, M.D

  • Interventional Cardiology Physician
  • San Francisco, CA
  • NPI 1629397674

  Single Specialty

  NPD (past)
• Magin Alexander, MD

  • Internal Medicine Physician
  • Fremont, CA
  • NPI 1144782673
  NPD (past)
• Ira Vergara Amayun, BSN, MPH, DNP, FNP-C

  • Nurse Practitioner
  • Fremont, CA
  • NPI 1639845993
  NPD (past)
• Aileen Araj, NP

  • Family Nurse Practitioner
  • Fremont, CA
  • NPI 1154962199
  NPD (past)
• Rohit Arora, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Fremont, CA
  • NPI 1508086885
  NPD (past)
• Shane Ashbaugh

  • Surgical Physician Assistant
  • Fremont, CA
  • NPI 1821635467
  NPD (past)
• Stella Edet Asuquo, M.D.

  • Vascular Surgery Physician
  • Fremont, CA
  • NPI 1437460177
  NPD (past)
• Nichole Suzanne Atherton, MD

  • Surgery Physician
  • Visalia, CA
  • NPI 1881875185
  NPD (past)
• Arturo R Avila, PA-C

  • Surgical Physician Assistant
  • Fremont, CA
  • NPI 1689756330
  NPD (past)
• Meghana Bachu

  • Family Nurse Practitioner
  • Newark, CA
  • NPI 1588287676
  NPD (past)
• Sangeetha Balakrishnan, M.D.

  • Cardiovascular Disease Physician
  • Fremont, CA
  • NPI 1326055658
  NPD (past)
• Irene A Beissner, MD

  • Obstetrics & Gynecology Physician
  • Fremont, CA
  • NPI 1922100908
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434499200000",
    "number": "1174675417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39141 CIVIC CENTER DR",
            "address_2": "SUITE 220",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945385818",
            "telephone_number": "510-248-1000",
            "fax_number": "510-608-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38690 STIVERS ST",
            "address_2": "SUITE A",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945365279",
            "telephone_number": "510-248-1040",
            "fax_number": "510-797-7426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON TOWNSHIP MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-17",
        "last_updated": "2015-06-17",
        "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": "510-248-1000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G36600",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "G36600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0104740",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD 2ND LOCATION",
            "identifier": "ZZZ69534Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GRP PIN",
            "identifier": "ZZZ69533Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washington Township Medical Group, Inc",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Washington Township Hospital District
• Washington Township Hospital District (Washington Hospital)
• Washington Township Hospital District
• Washington Township Medical Foundation
• Washington Township Medical Foundation (Washington Health Urgent Care)
• Washington Township Medical Group, Inc. (Washington Township Center for Sleep Disorders)
• Washington Vascular Diagnostics, Inc.
• Natalie Rose Washington
• Sasha Washington
• Norman Gong Wat, DDS

• Family Medicine Physician in Fremont, CA
• Providers in Fremont, 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 Jun 17, 2015; 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.