Active NPI
Washington Township Medical Foundation
- Internal Medicine Physician
- Fremont, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- WASHINGTON TOWNSHIP MEDICAL FOUNDATION
- Practice address
- 39300 Civic Center Dr Ste 370
Fremont, CA 94538-2397 - Phone
- (510) 248-1000
- Fax
- (510) 608-6055
- NPI assigned
- Sep 1, 2010
- Last updated
- Jul 14, 2025
- 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
- Mary Goulart
- Title
- Credentialing
- Phone
- (510) 248-1018
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Internal Medicine Physician | 207R00000X | Primary | ||
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | |||
| Gastroenterology Physician | 207RG0100X | |||
| Infectious Disease Physician | 207RI0200X | |||
| Pulmonary Disease Physician | 207RP1001X | |||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | |||
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | |||
| Pediatrics Physician | 208000000X | |||
| Surgery Physician | 208600000X | |||
| Vascular Surgery Physician | 2086S0129X | |||
| Urology Physician | 208800000X | |||
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X |
Addresses
Primary practice location
39300 Civic Center Dr Ste 370
Fremont, CA 94538-2397
Mailing address
39300 Civic Center Dr Ste 370
Fremont, CA 94538-2397
Phone (510) 248-1000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101112001225 | CA | Part B Supplier - Clinic/Group Practice | 2860687050 |
Receives reassigned benefits from 213 practitioners 1 other NPI on this enrollment Practice locations: Union City, CA; Newark, CA; Fremont, CA |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
dba Washington Health Urgent Care
- Urgent Care Clinic/Center
- Fremont, CA
- NPI 1669360681
O20101112001225
National Provider Directory
National Provider DirectoryLocations
2299 Mowry Ave
Ste 2C
Fremont, CA 94538
Phone (510) 248-1430
38719 Stivers St
Fremont, CA 94536
Phone (510) 400-5252
39141 Civic Center Dr
Ste 335
Fremont, CA 94538
Phone (510) 248-1400
39300 Civic Center Dr
Ste 370
Fremont, CA 94538
Phone (510) 248-1000
46690 Mohave Dr
Fremont, CA 94539
Phone (510) 248-1065
6236 Thornton Ave
Newark, CA 94560
Phone (510) 248-1680
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
dba Washington Health Urgent Care
- Urgent Care Clinic/Center
- Fremont, CA
- NPI 1669360681
Practitioners & affiliated clinicians
Practitioners 215
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.
-
- Surgery Physician
- Fremont, CA
- NPI 1114927241
-
- Psychiatry Physician
- Fremont, CA
- NPI 1841557683
-
- Critical Care Medicine (Internal Medicine) Physician
- Fremont, CA
- NPI 1285652396
-
- Critical Care Medicine (Internal Medicine) Physician
- San Jose, CA
- NPI 1285898585
-
- Interventional Cardiology Physician
- San Francisco, CA
- NPI 1629397674
Single Specialty
-
- Internal Medicine Physician
- Fremont, CA
- NPI 1144782673
-
- Nurse Practitioner
- Fremont, CA
- NPI 1639845993
-
- Family Nurse Practitioner
- Fremont, CA
- NPI 1154962199
-
- Critical Care Medicine (Internal Medicine) Physician
- Fremont, CA
- NPI 1508086885
-
- Surgical Physician Assistant
- Fremont, CA
- NPI 1821635467
-
- Vascular Surgery Physician
- Fremont, CA
- NPI 1437460177
-
- Surgery Physician
- Visalia, CA
- NPI 1881875185
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1752451200000",
"number": "1346557014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39300 CIVIC CENTER DR STE 370",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382397",
"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": "39300 CIVIC CENTER DR STE 370",
"city": "FREMONT",
"state": "CA",
"postal_code": "945382397",
"telephone_number": "510-248-1000",
"fax_number": "510-608-6055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WASHINGTON TOWNSHIP MEDICAL FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-01",
"last_updated": "2025-07-14",
"certification_date": "2025-07-14",
"status": "A",
"authorized_official_last_name": "GOULART",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "510-248-1018"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RC0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Critical Care Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Infectious Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Pulmonary Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery, Vascular Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Urology",
"state": null,
"license": null,
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fremont, CA
- Washington Township Hospital Development Corporation (Washington Radiation Oncology Center)
- Washington Township Hospital District
- Washington Township Hospital District
- Washington Township Hospital District (Washington Hospital)
- Washington Township Hospital District
- Washington Township Medical Foundation (Washington Health Urgent Care)
- Washington Township Medical Group
- Washington Township Medical Group, Inc. (Washington Township Center for Sleep Disorders)
- Washington Vascular Diagnostics, Inc.
- Natalie Rose Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.