Individual provider Active NPI

Michael G Cedars, M.D.

  • Plastic Surgery Physician
  • Oakland, CA
National Provider Identifier
1205821402
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
G38306 Issued in CA
Practice address
3300 Webster St
Oakland, CA 94609-3117
Phone
(510) 763-2662
Fax
(510) 763-2679
NPI assigned
Sep 13, 2005
Reactivated
Apr 13, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X G38306 CA Primary

Addresses

Primary practice location

3300 Webster St
Oakland, CA 94609-3117

Mailing address

3300 Webster St
Oakland, CA 94609-3125
Phone (510) 763-2662

Other identifiers 1

IdentifierTypeStateIssuer
00G383060MedicaidCA

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
I20100611000489 CA Practitioner - Plastic and Reconstructive Surgery 4082744420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of California, San Francisco School of Medicine, 1977
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3300 Webster St
Suite 1106
Oakland, CA 94609-3125
Phone (510) 763-2662

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G38306CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael G. Cedars. M.D. Inc. CurrentSince Jun 1, 2015 Accepting new patients
Tomi Lee Wall MD PC CurrentSince Feb 8, 2023 Accepting new patients
Children's Hospital & Research Center at Oakland Past Accepting new patients
Alta Bates Summit Medical Center Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

3300 Webster St
Ste 1106
Oakland, CA 94609
Phone (510) 763-2662

3300 Webster St
Ste 701
Oakland, CA 94609

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1205821402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093125",
            "telephone_number": "510-763-2662",
            "fax_number": "510-763-2679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093117",
            "telephone_number": "510-763-2662",
            "fax_number": "510-763-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEDARS",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2026-07-13",
        "deactivation_date": "2006-03-23",
        "reactivation_date": "2006-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G38306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G383060",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.