William Jervis, M.D., F. a. C. S., Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

License

G8005 Issued in CA

Legal business name

WILLIAM JERVIS, M.D., F. A. C. S., INC.

Doing business as

Advanced Cosmetic Surgery of Walnut Creek

Practice address

1844 San Miguel Dr
Suite 109
Walnut Creek, CA 94596-4962

Phone

(925) 937-7100

Fax

(925) 937-3896

NPI assigned

Sep 16, 2009

Last updated

Sep 16, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. William Horace Jervis Jr., MD

Title

Medical Director

Phone

(925) 937-7100

Specialties & licenses 1

Addresses

Other names 1

• Advanced Cosmetic Surgery of Walnut Creek Doing business as

Locations

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

{
    "created_epoch": "1253059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1253059200000",
    "number": "1225361629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1844 SAN MIGUEL DR",
            "address_2": "SUITE 109",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964962",
            "telephone_number": "925-937-7100",
            "fax_number": "925-937-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1844 SAN MIGUEL DR",
            "address_2": "SUITE 109",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945964962",
            "telephone_number": "925-937-7100",
            "fax_number": "925-937-3896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM JERVIS, M.D., F. A. C. S., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-16",
        "last_updated": "2009-09-16",
        "status": "A",
        "authorized_official_last_name": "JERVIS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "HORACE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "925-937-7100",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": "G8005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Cosmetic Surgery of Walnut Creek",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rashaad Wilkinson-Williams
• Sindy Appel Wilkinson, LMFT
• Will H. Lane, MD, Inc
• Nicole Willbur
• Oscarine Willems-Baecke, PHARMD
• William S. Lieber, DMD, PC
• Amana Williams
• Andrea Secoquian Williams
• Ari Williams
• Breonny Williams

• Ambulatory Surgical Clinic/Center in Walnut Creek, CA
• Providers in Walnut Creek, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; 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.