NEWSTART MEDICAL CLINIC (NPI# 1508927344) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508927344 |
| Entity Type | Organization |
| Organization Name | NEWSTART MEDICAL CLINIC |
| Practice Address |
20601 West Paoli Lane Weimar CA 95736 |
| Mailing Address |
Po Box 486 Weimar CA 95736 |
| Practice Telephone | 5306374111 |
| Practice Fax Number | 5306374443 |
| Mailing Telephone | 5306374111 |
| Mailing Fax Number | 5306374443 |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. TENA R PENNER (MEDICAL CLINIC MANAGER) |
| Authorized Official Telephone | 5306374111 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| X | 207W00000X | Ophthalmology | Allopathic & Osteopathic Physicians | ||
| X | 2083P0901X |
Preventive Medicine Specialization: Public Health & General Preventive Medicine |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CLINIC PROVIDER # | ZZZ22926Z | 01 |
| Street Address |
20601 WEST PAOLI LANE |
| City | WEIMAR |
| State | CA |
| Zip Code | 95736 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083793947 | Clarence Sinn Fook Ing | Ophthalmology | 20601 West Paoli Lane, Weimar, CA 95736-0486 | 2006-11-03 |
| 1710446133 | Samantha Abbade | Nurse Practitioner | 20601 West Paoli Lane, Weimar, CA 95736 | 2019-03-15 |
| 1588072698 | Newstart Medical Group Inc | Clinic/Center | 20601 West Paoli Lane, Weimar, CA 95736-0486 | 2014-08-01 |
| 1356688329 | Benjamin Tiffany | Massage Therapist | 20601 West Paoli Lane, Weimar, CA 95736 | 2013-01-11 |
| 1700118700 | David Joseph Derose | Internal Medicine | 20601 West Paoli Lane, Weimar, CA 95736-0486 | 2010-02-02 |
| 1245380229 | Grace Reiko Lossev | Physical Therapist | 20601 West Paoli Lane, Weimar, CA 95736 | 2007-01-11 |
| 1073692943 | Michael John Orlich | Family Medicine | 20601 West Paoli Lane, Weimar, CA 95736 | 2006-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407355126 | Theresa G Leal | Social Worker | 20601 W. Paoli Ln., Weimar, CA 95736 | 2018-02-08 |
| 1396176202 | Brian Glass | Nurse Practitioner | 20601 W. Paoli Lane, Weimar, CA 95736 | 2013-12-02 |
| 1538248497 | Richard Harold Lukens | Family Medicine | 20601 W Paoli Ln, Weimar, CA 95736 | 2006-11-03 |
| 1417321928 | Mariana Bria | Physician Assistant | 20601 West Paoli Ln, Weimar, CA 95736-0486 | 2015-11-20 |
| 1992745079 | Randall L Steffens Sr. | Emergency Medicine | 20601 W Paoli Ln, Weimar, CA 95736-0486 | 2006-06-07 |
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| 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. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417395989 | Curtis Martin Vanhouten | Family Medicine | 206 E Jackson St, Weimar, TX 78962-2118 | 2013-06-06 |
| 1295721140 | Olga I Duchicela | Family Medicine | 402 Youens Dr, Weimar, TX 78962-3680 | 2005-09-26 |
| 1225694979 | Duchicela & Associates Pa | Family Medicine | 402 Youens Dr, Weimar, TX 78962-3680 | 2019-05-17 |
| 1205148459 | Evan Lee Underwood | Family Medicine | 402 Youens Dr, Weimar, TX 78962-3680 | 2010-07-03 |
| 1538248497 | Richard Harold Lukens | Family Medicine | 20601 W Paoli Ln, Weimar, CA 95736 | 2006-11-03 |
| 1073692943 | Michael John Orlich | Family Medicine | 20601 West Paoli Lane, Weimar, CA 95736 | 2006-11-03 |
| 1356337190 | Youens, Duchicela & Associates, P.a. | Family Medicine | 402 Youens Dr, Weimar, TX 78962-3680 | 2005-09-27 |
| 1639165426 | Robert A Youens | Family Medicine | 402 Youens Dr, Weimar, TX 78962-3680 | 2005-09-27 |
| 1043206980 | Jorge A Duchicela | Family Medicine | 402 Youens Dr, Weimar, TX 78962-3680 | 2005-09-26 |
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| 1831790112 | Universal Healthcare Services, Inc. | Family Medicine | 6025 Niles St, Bakersfield, CA 93306-4696 | 2020-11-04 |
| 1568063923 | Claude Kathy Marquis | Family Medicine | 400 S June St, Los Angeles, CA 90020-4812 | 2020-11-03 |
| 1417558842 | San Judas Tadeo Medical Group, Inc. | Family Medicine | 1000 S La Brea Ave Ste 2, Inglewood, CA 90301-3869 | 2020-11-03 |
| 1174123038 | Socal Medical Center., Inc. | Family Medicine | 1350 E Los Angeles Ave Ste 204, Simi Valley, CA 93065-2860 | 2020-10-29 |
| 1205435864 | Montana Affinity LLC | Family Medicine | 820 N Mountain Ave Ste 103, Upland, CA 91786-4163 | 2020-10-23 |
| 1861091126 | Silvia Diego Md Inc A Professional Medical Corp | Family Medicine | 1317 Oakdale Rd Ste 100, Modesto, CA 95355-3362 | 2020-10-19 |
| 1245838879 | Lalaine Talagtag Smith | Family Medicine | 919 Mariner Dr Apt C, Mountain View, CA 94043-3372 | 2020-10-15 |
| 1417554023 | Hameed A. Khan, M.d., Inc. | Family Medicine | 3655 Lomita Blvd Ste 421, Torrance, CA 90505-1934 | 2020-10-06 |
| 1073120085 | Garrison Family Medical Group Inc | Family Medicine | 41210 11th St W Ste C, Palmdale, CA 93551-1447 | 2020-09-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.