Provider Demographics
NPI:1285836197
Name:NEWTON, CHARLES RAYMOND (MD)
Entity type:Individual
Prefix:DR
First Name:CHARLES
Middle Name:RAYMOND
Last Name:NEWTON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5344 W CYPRESS AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:VISALIA
Mailing Address - State:CA
Mailing Address - Zip Code:93277-8339
Mailing Address - Country:US
Mailing Address - Phone:559-625-6080
Mailing Address - Fax:559-625-6024
Practice Address - Street 1:5344 W CYPRESS AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:VISALIA
Practice Address - State:CA
Practice Address - Zip Code:93277-8339
Practice Address - Country:US
Practice Address - Phone:559-625-6080
Practice Address - Fax:559-625-6024
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC38535207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AN8915970OtherDEA
A36946Medicare UPIN