Active NPI
Maria Luz Webster-Longin, MD
- Internal Medicine Physician
- Oakland, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A88914
- Practice address
- 1030 International Blvd
Oakland, CA 94601 - Phone
- (510) 238-5400
- Fax
- (510) 238-5437
- NPI assigned
- Sep 25, 2006
- Last updated
- Dec 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A88914 | CA | Primary |
Addresses
Primary practice location
1030 International Blvd
Oakland, CA 94601
Mailing address
1601 Fruitvale Ave
Oakland, CA 94601-2322
Phone (510) 535-4000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ79046Z | Other | CA | FQHC MEDICARE PART B |
| HAP11991F | Other | CA | FPACT |
| FHC11991F | Medicaid | CA | |
| 05-1822 | Other | CA | FQHC MEDICARE PART A |
Other names 1
- Maria Luz Webster
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Howard University College of Medicine, 2000
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
2727 Macdonald Ave
Richmond, CA 94804-3006
Phone (510) 236-6990
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 88914 | CA | MD | Clinical Social Worker |
| A88914 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brighter Beginnings | Current | Accepting new patients | |
| Brighter Beginnings | Current | Accepting new patients |
Locations
3505 Lone Tree Way
Ste 1
Antioch, CA 94509
Phone (925) 303-4780
2727 Macdonald Ave
Richmond, CA 94804
Phone (510) 213-6681
Interoperability endpoints
- mwebsterlongin585355@direct.ochin.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Richmond, CA
- NPI 1942638978
-
- Community/Behavioral Health Agency
- Oakland, CA
- NPI 1629275839
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1198022400000",
"number": "1134229388",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1601 FRUITVALE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946012322",
"telephone_number": "510-535-4000",
"fax_number": "510-535-4128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1030 INTERNATIONAL BLVD",
"city": "OAKLAND",
"state": "CA",
"postal_code": "94601",
"telephone_number": "510-238-5400",
"fax_number": "510-238-5437"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBSTER-LONGIN",
"first_name": "MARIA",
"middle_name": "LUZ",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2007-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A88914",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FQHC MEDICARE PART B",
"identifier": "ZZZ79046Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FPACT",
"identifier": "HAP11991F",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "FHC11991F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FQHC MEDICARE PART A",
"identifier": "05-1822",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "WEBSTER",
"middle_name": "LUZ",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Oakland, CA
- Molly Elizabeth Weber
- Simone Miriam Weber
- Webster Orthopaedic Medica Group, a Professional Corporation (Webster Orthopedics)
- Webster Orthopaedic Medical Group, a Professional Corporation (Webster Orthopedics)
- Webster Surgery Center, LP
- Jorden R Webster
- Steven F. Webster, MD
- Valencia Chanel Webster
- Laura Wedderburn, M.D.
- Dana Lyn Wedel, MS, RN, NP,PMHNP-BC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.