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NEWSTART MEDICAL CLINIC
NPI 1508927344
Family Medicine in Weimar, CA

Active since December 13, 2006CLIA 05D2085569 · Waiver
20601 WEST PAOLI LANE, WEIMAR, CA 95736(530) 637-4111(530) 637-4443 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Newstart Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEWSTART MEDICAL CLINIC (NPI 1508927344) is a healthcare organization registered as a family medicine in Weimar, California and active in the NPI registry since December 2006. The organization holds a CLIA Waiver certificate valid through November 18, 2026 and lists Tena R Penner, Medical Clinic Manager, as its authorized official.

NPPES Registry Identity

NPI1508927344
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameNEWSTART MEDICAL CLINIC
Location Address20601 WEST PAOLI LANEWeimar, CA 95736
Mailing AddressPo Box 486Weimar, CA 95736 · (530) 637-4111 · Fax (530) 637-4443
Phone(530) 637-4111
Fax(530) 637-4443
Organization SubpartNo
Authorized OfficialTena R PennerMedical Clinic Manager · (530) 637-4111
Enumeration DateDecember 13, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1508927344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
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.
Also ListedOphthalmologyTaxonomy 207W00000X
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X
20601 WEST PAOLI LANE, Weimar, CA 95736
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Other Identifiers 1

OtherZZZ22926ZCA · Clinic Provider #

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2085569

Newstart Medical Group Inc Dba Blue Stone H&w · Weimar, CA
Active · expires Nov 18, 2026
CLIA Number05D2085569
Laboratory TypeRural Health Clinic
Certificate Effective DateNovember 19, 2024
Certificate Expiration DateNovember 18, 2026
Laboratory DirectorRoger D. Gallant
Laboratory Phone(706) 996-3311
Laboratory LocationNewstart Medical Group Inc Dba Blue Stone H&w20601 West Paoli Ln, Weimar, CA 95736
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MICHAEL JOHN ORLICH MD
Family Medicine
20601 WEST PAOLI LANE
WEIMAR, CA 95736
Placer County (530) 637-4111
DR. CLARENCE SINN FOOK ING MD
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
20601 WEST PAOLI LANE
WEIMAR, CA 95736
Placer County (530) 637-4111
KRYSTINA HOLLIDAY RN, BSN
Registered Nurse
20601 WEST PAOLI LANE
WEIMAR, CA 95736
Placer County (530) 422-7920
MICHELLE LEE LITTLE RDH23156
Dental Hygienist
20601 WEST PAOLI LANE
WEIMAR, CA 95736
Placer County (530) 637-4025
GRACE REIKO LOSSEV
Physical Therapist
20601 WEST PAOLI LANE
WEIMAR, CA 95736
Placer County (530) 422-7906
MS. AVA CECILIA HUDSON ARNP
Nurse Practitioner (Adult Health)
20601 WEST PAOLI LANE
WEIMER, CA 95736
Placer County (530) 637-4025
BENJAMIN TIFFANY
Massage Therapist
20601 WEST PAOLI LANE
WEIMAR, CA 95736
Placer County (231) 342-8483
NEWSTART MEDICAL GROUP INC
Clinic/Center (Rural Health)
20601 WEST PAOLI LANE
WEIMAR, CA 95736
Placer County (530) 296-4417

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Newstart Medical Clinic's NPI number?

The NPI number for Newstart Medical Clinic is 1508927344. It was assigned to this organization in the NPPES registry on December 13, 2006.

Where is Newstart Medical Clinic located?

Newstart Medical Clinic is located at 20601 West Paoli Lane, Weimar, CA 95736. The listed phone number is (530) 637-4111.

What is Newstart Medical Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Newstart Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2085569) is associated with this NPI, valid through November 18, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Newstart Medical Clinic was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.