Individual provider Active NPI

Lynell Williams, MD

  • Critical Care Medicine (Anesthesiology) Physician
  • Oakland, CA
National Provider Identifier
1164662128
Registry record updated Nov 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
License
982903 Issued in CA
Practice address
350 Hawthorne Ave RM 2346
Oakland, CA 94609
Phone
(510) 869-6883
Fax
(510) 869-6888
NPI assigned
Mar 3, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 982903 CA Primary

Addresses

Primary practice location

350 Hawthorne Ave RM 2346
Oakland, CA 94609

Mailing address

325 Distel Cir
Los Altos, CA 94022-1408
Phone (510) 869-6883

Other practice location 1

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-8234

Other identifiers 1

IdentifierTypeStateIssuer
A131010OtherCASTATE MEDICAL LICENSE

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
I20141204000703 CA Practitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 2567696776 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Critical Care (Intensivists)
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Services of San Joaquin PCGroup PAC ID 4082754056, 75 clinicians

Practice addresses (Care Compare)

1800 N California St
Stockton, CA 95204-6019
Phone (209) 943-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
982903CAMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca Current Accepting new patients
Valley Regional Anesthesia Associates Inc Anesthesiology CurrentSince Mar 17, 2024 Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Dec 1, 2019 Accepting new patients
Regents of the Univ of Ca CurrentSince Nov 14, 2025 Accepting new patients
Palm Springs Anesthesia Services, PC Anesthesiology CurrentSince Feb 12, 2020 Accepting new patients
Premier Anesthesia of California, PC Anesthesiology CurrentSince Nov 1, 2022 Accepting new patients
City of Hope Medical Foundation Anesthesiology CurrentSince Jul 17, 2023 Accepting new patients
Veeone Medical Group PA CurrentSince Feb 2, 2023 Accepting new patients
Anesthesia Services of San Joaquin, P.C. Anesthesiology CurrentSince Aug 19, 2023 Accepting new patients
Sutter Valley Medical Foundation Anesthesiology Current Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Dec 1, 2019 Accepting new patients
Regents of the Univ of Ca CurrentSince Nov 14, 2025 Accepting new patients

Locations

3001 Sillect Ave
Bakersfield, CA 93308
Phone (661) 316-6000

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

2000 Mowry Ave
Fremont, CA 94538
Phone (510) 793-6653

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1050 Linden Ave
Long Beach, CA 90813
Phone (562) 491-9000

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1601 Avocado Ave
Newport Beach, CA 92660
Phone (949) 763-2204

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418

465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886

2900 Eureka Way
Redding, CA 96001
Phone (530) 225-8700

1420 E Roseville Pkwy
Ste 140519
Roseville, CA 95661

2825 Capitol Ave
Sacramento, CA 95816
Phone (916) 887-0000

2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

6001 Norris Canyon Rd
San Ramon, CA 94583
Phone (925) 275-8273

209 Fair Oaks Ave
South Pasadena, CA 91030
Phone (626) 359-8111

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744

Interoperability endpoints

  • Direct secure messaging: lwilliams462483@hisp.ehr.sutterhealth.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573171200000",
    "number": "1164662128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "325 DISTEL CIR",
            "city": "LOS ALTOS",
            "state": "CA",
            "postal_code": "940221408",
            "telephone_number": "510-869-6883",
            "fax_number": "510-869-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 HAWTHORNE AVE RM 2346",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94609",
            "telephone_number": "510-869-6883",
            "fax_number": "510-869-6888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2799 W Grand Blvd",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482022608",
            "country_code": "US",
            "telephone_number": "313-916-8234",
            "fax_number": "313-916-9434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "LYNELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-03",
        "last_updated": "2019-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "CA",
            "license": "982903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "A131010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.