Active NPI
Warren Nelson MD, a Medical Corporation
- Anesthesiology Physician
- San Pablo, CA
National Provider Identifier
1114109600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- Legal business name
- WARREN NELSON MD, A MEDICAL CORPORATION
- Practice address
- 2000 Vale Rd
San Pablo, CA 94806-3808 - Phone
- (510) 970-5000
- Fax
- (510) 970-5761
- NPI assigned
- Nov 27, 2007
- 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
- W. Warren Nelsom, M.D.
- Title
- President
- Phone
- (503) 372-2740
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | Primary |
Addresses
Primary practice location
2000 Vale Rd
San Pablo, CA 94806-3808
Mailing address
8905 SW Nimbus Ave
Ste 300
Beaverton, OR 97008-7136
Phone (503) 372-2740
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Huntley, IL
- NPI 1992842801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196121600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1196121600000",
"number": "1114109600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8905 SW NIMBUS AVE",
"address_2": "STE 300",
"city": "BEAVERTON",
"state": "OR",
"postal_code": "970087136",
"telephone_number": "503-372-2740",
"fax_number": "503-372-2754"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 VALE RD",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "948063808",
"telephone_number": "510-970-5000",
"fax_number": "510-970-5761"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WARREN NELSON MD, A MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-27",
"last_updated": "2007-11-27",
"status": "A",
"authorized_official_last_name": "NELSOM",
"authorized_official_first_name": "W.",
"authorized_official_middle_name": "WARREN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "503-372-2740",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pablo, CA
- Walgreen Co (Walgreens #13796)
- Walgreen Co (Walgreens #15947)
- Walgreen Co (Walgreens #04491)
- Mary Brooke Walsh, FNP
- Patricia Wardley
- Tiffany L Washington, CD
- David S. Weiland, M.D.
- Gilbert Kesten Weisman, M.D.
- West Contra Costa Healthcare District (Doctor's Medical Center)
- West Contra Costa Urological Surgery Medical Group Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.