Individual provider Active NPI

Gretchen G Webb-Kummer, M.D.

  • Family Medicine Physician
  • Oakdale, CA
National Provider Identifier
1356475347
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A94868 Issued in CA
Practice address
1425 West H St
Ste 200
Oakdale, CA 95361-3590
Phone
(209) 848-1005
Fax
(209) 845-8918
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A94868 CA Primary

Addresses

Primary practice location

1425 West H St
Ste 200
Oakdale, CA 95361-3590

Mailing address

1425 West H St
Ste 200
Oakdale, CA 95361-3590
Phone (209) 848-1005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071003000786 CA Practitioner - Family Practice 9335234475 Practice locations: Oakdale, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A94868CAMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1356475347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 WEST H ST",
            "address_2": "STE 200",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613590",
            "telephone_number": "209-848-1005",
            "fax_number": "209-845-8918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 WEST H ST",
            "address_2": "STE 200",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613590",
            "telephone_number": "209-848-1005",
            "fax_number": "209-845-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBB-KUMMER",
        "first_name": "GRETCHEN",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A94868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakdale, CA

Sources for this page

Verify at the official NPI Registry.