Organization Active NPI

Washington Family Health Medical Group, Inc.

  • Family Medicine Physician
  • Fremont, CA
National Provider Identifier
1508088279
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G24535 Issued in CA
Legal business name
WASHINGTON FAMILY HEALTH MEDICAL GROUP, INC.
Practice address
38069 Martha Avenue
Siute 300
Fremont, CA 94536
Phone
(510) 608-4800
Fax
(510) 608-0555
NPI assigned
May 3, 2007
Last updated
Feb 26, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Dr. Barbara Hughes Kostick, M.D.NPI 1104840586
Title
Preseident
Phone
(510) 608-4800

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
Family Medicine Physician 207Q00000X G24535 CA Primary

Addresses

Primary practice location

38069 Martha Avenue
Siute 300
Fremont, CA 94536

Mailing address

38069 Martha Avenue
Siute 300
Fremont, CA 94536
Phone (510) 608-4800

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

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": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1508088279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38069 MARTHA AVENUE",
            "address_2": "SIUTE 300",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94536",
            "telephone_number": "510-608-4800",
            "fax_number": "510-608-0555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38069 MARTHA AVENUE",
            "address_2": "SIUTE 300",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "94536",
            "telephone_number": "510-608-4800",
            "fax_number": "510-608-0555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON FAMILY HEALTH MEDICAL GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "KOSTICK",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_middle_name": "HUGHES",
        "authorized_official_title_or_position": "PRESEIDENT",
        "authorized_official_telephone_number": "510-608-4800",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G24535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fremont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.