NPIMap

Organization Active NPI

Newstart Medical Group Inc

Doing business as Blue Stone Health and Wellness

  • Rural Health Clinic/Center
  • Weimar, CA
National Provider Identifier
1588072698
Registry record updated May 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
NEWSTART MEDICAL GROUP INC
Doing business as
Blue Stone Health and Wellness
Weimar Family Care
Practice address
20601 West Paoli Lane
Weimar, CA 95736-0486
Phone
(530) 296-4417
Fax
(877) 425-5508
NPI assigned
Aug 1, 2014
Last updated
May 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 27, 2025

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

Authorized official

Name
Dr. Roger Gallant, MDNPI 1215077102
Title
Medical Director
Phone
(252) 619-8911

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X
Rural Health Clinic/Center 261QR1300X Primary

Addresses

Primary practice location

20601 West Paoli Lane
Weimar, CA 95736-0486

Mailing address

PO Box 486
Weimar, CA 95736-0486
Phone (530) 296-4417

Other names 2

  • Blue Stone Health and Wellness Doing business as
  • Weimar Family Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20141015001437 CA Part B Supplier - Clinic/Group Practice 8628299799 Receives reassigned benefits from 48 practitioners
Practice locations: Weimar, CA
O20141016001611 CA Part A Provider - Rural Health Clinic 8628299799 Practice locations: Weimar, CA

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1588072698. Details of each certification follow.

Rural health clinic certification: CCN 058987

Legal name
NEWSTART MEDICAL GROUP INC
Doing business as
BLUE STONE HEALTH & WELLNESS
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Nov 17, 2015
Last certification
Nov 17, 2015
Ownership / control type
1B
Organization structure
CorporationProprietary
Incorporated
Jul 21, 2014 in CA
Enrollment address
20601 West Paoli Lane
Weimar, CA 95736-0486

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2085569Newstart Medical Group Inc Dba Blue Stone H&W20601 West Paoli LN, Weimar, CA 95736Certificate of waiverNov 18, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 1

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Roger D Gallant Individual 5% Or Greater Direct Ownership Interest100% Owner Jul 21, 2014 100%
Corporate OfficerCeo Jul 21, 2014 100%
Corporate DirectorDirector Jul 21, 2014 100%
W-2 Managing EmployeeMD; Apr 17, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

  • Roger D Gallant, MD
    • Family Medicine Physician
    • Elizabeth City, NC
    • NPI 1215077102

    5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, W-2 Managing Employee

    CMS ownership

Practitioners & affiliated clinicians

Practitioners 50

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.

View all 50

NPI Registry JSON

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

{
    "created_epoch": "1406851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1588072698",
    "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": "957360486",
            "telephone_number": "530-296-4417",
            "fax_number": "877-425-5508"
        },
        {
            "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": "957360486",
            "telephone_number": "530-296-4417",
            "fax_number": "877-425-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEWSTART MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-01",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "GALLANT",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "252-619-8911",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blue Stone Health and Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Weimar Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Weimar, CA

Sources for this page

Verify at the official NPI Registry.