Organization Active NPI

Webster Orthopaedic Medical Group, Apc

  • Orthopaedic Surgery Physician
  • Berkeley, CA
National Provider Identifier
1184975336
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
WEBSTER ORTHOPAEDIC MEDICAL GROUP, APC
Practice address
3010 Colby St
Suite 118
Berkeley, CA 94705-2091
Phone
(510) 486-2300
Fax
(510) 486-2333
NPI assigned
Sep 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2012

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

Authorized official

Name
J. Theodore Schwartz, M.D.
Title
President
Phone
(800) 943-8099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

3010 Colby St
Suite 118
Berkeley, CA 94705-2091

Mailing address

200 Porter Dr
Suite 215
San Ramon, CA 94583-1587
Phone (800) 943-8099

Other names 1

  • Webster Orthopedics Doing business as

National Provider Directory

National Provider Directory

Locations

200 Porter Dr
Ste 215
San Ramon, CA 94583
Phone (925) 362-2166

NPI Registry JSON

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

{
    "created_epoch": "1348704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348704000000",
    "number": "1184975336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 PORTER DR",
            "address_2": "SUITE 215",
            "city": "SAN RAMON",
            "state": "CA",
            "postal_code": "945831587",
            "telephone_number": "800-943-8099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 COLBY ST",
            "address_2": "SUITE 118",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052091",
            "telephone_number": "510-486-2300",
            "fax_number": "510-486-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER ORTHOPAEDIC MEDICAL GROUP, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-27",
        "last_updated": "2012-09-27",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "THEODORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "800-943-8099",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Webster Orthopedics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.