Individual provider Active NPI

Michael Albert Oberlander, MD

  • Orthopaedic Surgery Physician
  • Lafayette, CA
National Provider Identifier
1063525244
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G65683 Issued in CA
Practice address
3717 Mt Diablo Blvd Ste 100
Lafayette, CA 94549-3547
Phone
(925) 284-5300
Fax
(925) 284-5381
NPI assigned
Aug 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X G65683 CA
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X G65683 CA
Orthopaedic Surgery Physician 207X00000X G65683 CA Primary

Addresses

Primary practice location

3717 Mt Diablo Blvd Ste 100
Lafayette, CA 94549-3547

Mailing address

3717 Mt Diablo Blvd Ste 100
Lafayette, CA 94549-3547
Phone (925) 284-5300

Other practice location 1

1800 Sutter St
100
Concord, CA 94520
Phone (925) 691-0500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090629000420 CA Practitioner - Orthopedic Surgery 0042107401 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
59707CAMDGeneral Practice Dentistry
G65683CAMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bass Medical Group Orthopaedic Surgery CurrentSince Oct 29, 2024 Accepting new patients
Bass Medical Group Orthopaedic Surgery Current Accepting new patients
Bay Area Surgical Specialists Inc a Medical Corporation CurrentSince Oct 29, 2024 Accepting new patients
Bass Medical Group Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

3717 Mt Diablo Blvd
Ste 100
Lafayette, CA 94549
Phone (925) 284-5300

2637 Shadelands Dr
Walnut Creek, CA 94598
Phone (925) 627-3424

Interoperability endpoints

  • Direct secure messaging: moberlander17905@ehr.johnmuirhealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740700800000",
    "number": "1063525244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3717 MT DIABLO BLVD STE 100",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493547",
            "telephone_number": "925-284-5300",
            "fax_number": "925-284-5381"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3717 MT DIABLO BLVD STE 100",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945493547",
            "telephone_number": "925-284-5300",
            "fax_number": "925-284-5381"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Sutter St",
            "address_2": "100",
            "address_purpose": "LOCATION",
            "city": "Concord",
            "state": "CA",
            "postal_code": "94520",
            "country_code": "US",
            "telephone_number": "925-691-0500",
            "fax_number": "925-688-0204",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OBERLANDER",
        "first_name": "MICHAEL",
        "middle_name": "ALBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-15",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "CA",
            "license": "G65683",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "G65683",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G65683",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, CA

Sources for this page

Verify at the official NPI Registry.