Organization Active NPI

Roger W Washington M D Inc

  • Family Medicine Physician
  • San Jose, CA
National Provider Identifier
1881712560
Registry record updated Nov 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G52316 Issued in CA
Legal business name
ROGER W WASHINGTON M D INC
Practice address
2365 Quimby Rd Ste 160
San Jose, CA 95122-1337
Phone
(408) 246-9926
Fax
(408) 246-7877
NPI assigned
Mar 27, 2007
Last updated
Nov 24, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2025

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

Authorized official

Name
Dr. Roger W Washington, M.D.NPI 1295812816
Title
Owner
Phone
(408) 246-9926

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 G52316 CA Primary

Addresses

Primary practice location

2365 Quimby Rd Ste 160
San Jose, CA 95122-1337

Mailing address

360 S Market St Unit 1501
San Jose, CA 95113-2869
Phone (408) 246-9926

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041207000734 CA Part B Supplier - Clinic/Group Practice 1153387592 Receives reassigned benefits from 1 practitioner
Practice locations: San Jose, CA

National Provider Directory

National Provider Directory

Locations

2365 Quimby Rd
#260
San Jose, CA 95122
Phone (408) 246-9926

885 Scott Blvd
Ste 4
Santa Clara, CA 95050
Phone (408) 246-9926

Practitioners & affiliated clinicians

Practitioners 1

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": "1174953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1763942400000",
    "number": "1881712560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 S MARKET ST UNIT 1501",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951132869",
            "telephone_number": "408-246-9926",
            "fax_number": "408-246-7877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2365 QUIMBY RD STE 160",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951221337",
            "telephone_number": "408-246-9926",
            "fax_number": "408-246-7877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER W WASHINGTON M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-27",
        "last_updated": "2025-11-24",
        "certification_date": "2025-11-24",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "ROGER",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-246-9926",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G52316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.

Verify at the official NPI Registry.