| Roger W. Washington, M.d., Inc. | |
|
885 Scott Blvd Ste.4 Santa Clara CA 95050-5255 | |
| (408) 246-9926 | |
| Not Available |
| Full Name | Roger W. Washington, M.d., Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 885 Scott Blvd, Santa Clara, California |
| Authorized Official Name and Position | Roger W Washington (OWNER) |
| Authorized Official Contact | 4082467862 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger W. Washington, M.d., Inc. 885 Scott Blvd Ste.4 Santa Clara CA 95050-5255 Ph: (408) 246-9926 | Roger W. Washington, M.d., Inc. 885 Scott Blvd Ste.4 Santa Clara CA 95050-5255 Ph: (408) 246-9926 |
| NPI Number | 1881712560 |
|---|---|
| Provider Enumeration Date | 03/27/2007 |
| Last Update Date | 07/01/2010 |
| Medicare PECOS PAC ID | 1153387592 |
|---|---|
| Medicare Enrollment ID | O20041207000734 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881712560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G52316 (California) | Primary |
| Provider Name | Roger W Washington |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1295812816 PECOS PAC ID: 0042276487 Enrollment ID: I20041208000288 |
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