Organization Active NPI

Willow Surgery Center, a Medical Corporation

  • Ambulatory Surgical Clinic/Center
  • San Francisco, CA
National Provider Identifier
1114091261
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WILLOW SURGERY CENTER, A MEDICAL CORPORATION
Practice address
203 Willow St
Suite 303
San Francisco, CA 94109-7734
Phone
(415) 931-2345
Fax
(415) 931-6010
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Randall B. Weil, M.D.
Title
Medical Director
Phone
(415) 931-2345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X CA Primary

Addresses

Primary practice location

203 Willow St
Suite 303
San Francisco, CA 94109-7734

Mailing address

203 Willow St
Suite 303
San Francisco, CA 94109-7734
Phone (415) 931-2345

National Provider Directory

National Provider Directory

Locations

203 Willow St
Ste 303
San Francisco, CA 94109
Phone (415) 928-1206

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1114091261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 WILLOW ST",
            "address_2": "SUITE 303",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941097734",
            "telephone_number": "415-931-2345",
            "fax_number": "415-931-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 WILLOW ST",
            "address_2": "SUITE 303",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941097734",
            "telephone_number": "415-931-2345",
            "fax_number": "415-931-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLOW SURGERY CENTER, A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "WEIL",
        "authorized_official_first_name": "RANDALL",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "415-931-2345",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.