Active NPI
Newstart Medical Clinic
- Family Medicine Physician
- Weimar, CA
National Provider Identifier
1508927344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- NEWSTART MEDICAL CLINIC
- Practice address
- 20601 West Paoli Lane
Weimar, CA 95736 - Phone
- (530) 637-4111
- Fax
- (530) 637-4443
- NPI assigned
- Dec 13, 2006
- 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
- Ms. Tena R Penner
- Title
- Medical Clinic Manager
- Phone
- (530) 637-4111
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Ophthalmology Physician | 207W00000X | |||
| Public Health & General Preventive Medicine Physician | 2083P0901X |
Addresses
Primary practice location
20601 West Paoli Lane
Weimar, CA 95736
Mailing address
PO Box 486
Weimar, CA 95736
Phone (530) 637-4111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ22926Z | Other | CA | CLINIC PROVIDER # |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1757548800000",
"number": "1508927344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 486",
"city": "WEIMAR",
"state": "CA",
"postal_code": "95736",
"telephone_number": "530-637-4111",
"fax_number": "530-637-4443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20601 WEST PAOLI LANE",
"city": "WEIMAR",
"state": "CA",
"postal_code": "95736",
"telephone_number": "530-637-4111",
"fax_number": "530-637-4443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEWSTART MEDICAL CLINIC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-13",
"last_updated": "2025-09-11",
"status": "A",
"authorized_official_last_name": "PENNER",
"authorized_official_first_name": "TENA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "MEDICAL CLINIC MANAGER",
"authorized_official_telephone_number": "530-637-4111",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Ophthalmology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2083P0901X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Preventive Medicine, Public Health & General Preventive Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLINIC PROVIDER #",
"identifier": "ZZZ22926Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Weimar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.