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NEWSTART MEDICAL CLINIC NPI 1508927344


NPI Information

NPI: 1508927344
Provider Name: NEWSTART MEDICAL CLINIC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 05D2085569

Address:
20601 WEST PAOLI LANE
WEIMAR, CA
ZIP 95736
Phone: (530) 637-4111
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NEWSTART MEDICAL CLINIC is a family medicine in Weimar, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. NEWSTART MEDICAL CLINIC NPI is 1508927344. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

20601 WEST PAOLI LANE
WEIMAR, CA
ZIP 95736
Phone: (530) 637-4111
Fax: (530) 637-4443

The provider's authorized official is Tena R Penner .
The authorized official title is Medical Clinic Manager and has the following contact phone number (530) 637-4111.

The CLIA number assigned to this NPI record is 05D2085569 - rural health clinic with a certificate type of Certificate of Registration.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes
2207W00000XOphthalmologyX
32083P0901XPreventive MedicinePublic Health & General Preventive MedicineX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1ZZZ22926ZOTHERCALIFORNIACLINIC PROVIDER #

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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