Active NPI
Katherine R. Newcomb M.D. Medical Corp
- Internal Medicine Physician
- Groveland, CA
National Provider Identifier
1285977587
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G59102
- Legal business name
- KATHERINE R. NEWCOMB M.D. MEDICAL CORP
- Practice address
- 18661 Main St
Groveland, CA 95321-9432 - Phone
- (209) 962-7121
- Fax
- (209) 962-0665
- NPI assigned
- Apr 4, 2013
- Last updated
- Apr 4, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katherine Renee Newcomb, M.D.
- Title
- Ceo
- Phone
- (209) 770-5283
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G59102 | CA | Primary |
Addresses
Primary practice location
18661 Main St
Groveland, CA 95321-9432
Mailing address
21340 Beaver CT
Groveland, CA 95321-9504
Phone (209) 770-5283
National Provider Directory
National Provider DirectoryLocations
18661 Main St
Groveland, CA 95321
Phone (209) 962-7121
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Internal Medicine Physician
- Groveland, CA
- NPI 1528193786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1365033600000",
"number": "1285977587",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21340 BEAVER CT",
"city": "GROVELAND",
"state": "CA",
"postal_code": "953219504",
"telephone_number": "209-770-5283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18661 MAIN ST",
"city": "GROVELAND",
"state": "CA",
"postal_code": "953219432",
"telephone_number": "209-962-7121",
"fax_number": "209-962-0665"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHERINE R. NEWCOMB M.D. MEDICAL CORP",
"organizational_subpart": "NO",
"enumeration_date": "2013-04-04",
"last_updated": "2013-04-04",
"status": "A",
"authorized_official_last_name": "NEWCOMB",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "RENEE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "209-770-5283",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G59102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Groveland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.