Charles W Newcomb, R.D.

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

713462 Issued in CA

Practice address

35761 John Albert Dr
Madera, CA 93636-7924

Phone

(559) 645-6358

Fax

(888) 224-0413

NPI assigned

Sep 24, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Chuck Newcomb Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473724800000",
    "number": "1346436243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35761 JOHN ALBERT DR",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "93636",
            "telephone_number": "559-645-6358",
            "fax_number": "888-224-0413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35761 JOHN ALBERT DR",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936367924",
            "telephone_number": "559-645-6358",
            "fax_number": "888-224-0413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWCOMB",
        "first_name": "CHARLES",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "R.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-24",
        "last_updated": "2016-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "713462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHUCK",
            "last_name": "NEWCOMB",
            "credential": "R.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Registered Dietitian in Madera, CA
• Providers in Madera, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.