Active NPI
Willow Surgery Center, a Medical Corporation
- Ambulatory Surgical Clinic/Center
- San Francisco, CA
National Provider Identifier
1114091261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.
-
- Certified Registered Nurse Anesthetist
- Redwood City, CA
- NPI 1497807606
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.