Healthcare Provider Details

I. General information

NPI: 1487896239
Provider Name (Legal Business Name): KATHARINE NEWMAN O'MALLEY M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KATHARINE B NEWMAN M.D.

II. Dates (important events)

Enumeration Date: 03/25/2009
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2495 HOSPITAL DR STE 400
MOUNTAIN VIEW CA
94040-4157
US

IV. Provider business mailing address

PO BOX 276950
SACRAMENTO CA
95827-6950
US

V. Phone/Fax

Practice location:
  • Phone: 650-404-8210
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberA125125
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License NumberA125125
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: