Mr Charles W Newcomb, RD | |
35761 John Albert Dr, Madera, CA 93636-7924 | |
(559) 645-6358 | |
(888) 224-0413 |
Full Name | Mr Charles W Newcomb |
---|---|
Gender | Male |
Speciality | Dietitian, Registered |
Location | 35761 John Albert Dr, Madera, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346436243 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
133V00000X | Dietitian, Registered | 713462 (California) | Primary |
Provider Name | John C Fremont Healthcare District |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1750504270 PECOS PAC ID: 5890689533 Enrollment ID: O20040212000193 |
Mailing Address | Practice Location Address |
---|---|
Mr Charles W Newcomb, RD 35761 John Albert Dr, Madera, CA 93636 Ph: (559) 645-6358 | Mr Charles W Newcomb, RD 35761 John Albert Dr, Madera, CA 93636-7924 Ph: (559) 645-6358 |
Cori Valeriote, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 4353 Oak Knoll Rd, Madera, CA 93636 Phone: 585-730-9096 | |
Priscila Gil, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 344 E 6th St, Madera, CA 93638 Phone: 559-664-4000 Fax: 559-675-5224 | |
Emily Valdez, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 344 E 6th St, Madera, CA 93638 Phone: 559-664-4000 |