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
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mary Goulart
- Title
- Credentialing
- Phone
- (510) 248-1018
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Urgent Care Clinic/Center
- Fremont, CA
- NPI 1669360681
O20101112001225
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.
-
- Urgent Care Clinic/Center
- Fremont, CA
- NPI 1669360681
Practitioners 215
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Critical Care Medicine (Internal Medicine) Physician
- Fremont, CA
- NPI 1285652396
CA, Critical Care Medicine
-
- Critical Care Medicine (Internal Medicine) Physician
- San Jose, CA
- NPI 1285898585
CA, Internal Medicine
-
- Interventional Cardiology Physician
- San Francisco, CA
- NPI 1629397674
CA, Single Specialty
-
- Critical Care Medicine (Internal Medicine) Physician
- Fremont, CA
- NPI 1508086885
CA, Critical Care Medicine
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 |
National Provider Directory
National Provider DirectoryLocations
38719 Stivers St
Fremont, CA 94536
Phone (510) 400-5252
39300 Civic Center Dr
Ste 370
Fremont, CA 94538
Phone (510) 248-1000
2500 Mowry Ave
#222
Fremont, CA 94538
Phone (510) 818-1160
2500 Mowry Ave
Ste 255
Fremont, CA 94538
39141 Civic Center Dr
Ste 130
Fremont, CA 94538
Phone (510) 248-1680
2500 Mowry Ave
Ste 222
Fremont, CA 94538
Phone (510) 248-1160
6236 Thornton Ave
Newark, CA 94560
Phone (510) 248-1860
Specialties & licenses 15
NPPES NPI Registry| 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
NPPES NPI RegistryPrimary 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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 14, 2025.
{
"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 Township Hospital District
- Washington Township Hospital District
- Washington Township Hospital District
- Washington Township Hospital District
- Washington Township Medical Foundation
- Washington Township Medical Group
- Washington Township Medical Group, Inc.
- 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.