NEWSTART MEDICAL GROUP INC (NPI# 1588072698) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588072698 |
| Entity Type | Organization |
| Organization Name | NEWSTART MEDICAL GROUP INC |
| Other Organization Name | WEIMAR FAMILY CARE |
| Practice Address |
20601 West Paoli Lane Weimar CA 95736-0486 |
| Mailing Address |
Po Box 486 Weimar CA 95736-0486 |
| Practice Telephone | 5302964417 |
| Practice Fax Number | 8774255508 |
| Mailing Telephone | 5302964417 |
| Mailing Fax Number | 8774255508 |
| Enumeration Date | 2014-08-01 |
| Last Update Date | 2016-06-14 |
| Authorized Official Name | DR. RANDALL LEE STEFFENS SR. (MEDICAL DIRECTOR) |
| Authorized Official Telephone | 6156040142 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities | ||
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Weimar Family Care | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | NEWSTART MEDICAL GROUP INC. | 20601 West Paloi Lane, Weimar, CA 95736 |
| Colorado Business Entities | NEWSTART Medical Group Inc. | 20601 West Paoli Lane, Weimar, CA 95736 |
| Street Address |
20601 WEST PAOLI LANE |
| City | WEIMAR |
| State | CA |
| Zip Code | 95736-0486 |
| 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 |
| 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 |
| 1508927344 | Newstart Medical Clinic | Family Medicine | 20601 West Paoli Lane, Weimar, CA 95736 | 2006-12-13 |
| 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 | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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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.