Organization Active NPI

Katherine R. Newcomb M.D. Medical Corp

  • Internal Medicine Physician
  • Groveland, CA
National Provider Identifier
1285977587
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G59102 Issued in CA
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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

Authorized official

Name
Katherine Renee Newcomb, M.D.NPI 1528193786
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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.