Organization Active NPI

Michael G. Cedars. M.D. Inc.

  • Health Service Clinic/Center
  • Oakland, CA
National Provider Identifier
1245497155
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
G38306 Issued in CA
Legal business name
MICHAEL G. CEDARS. M.D. INC.
Practice address
3300 Webster St Ste 1106
Oakland, CA 94609-3125
Phone
(510) 763-2662
Fax
(510) 763-2679
NPI assigned
May 19, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Authorized official

Name
Lin Phung
Title
Bus. Adm
Phone
(510) 331-1887

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X G38306 CA Primary
Health Service Clinic/Center 261QH0100X G383060 CA

Addresses

Primary practice location

3300 Webster St Ste 1106
Oakland, CA 94609-3125

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150604000224 CA Part B Supplier - Clinic/Group Practice 6406177328 Receives reassigned benefits from 1 practitioner
Practice locations: Oakland, CA

National Provider Directory

National Provider Directory

Locations

3300 Webster St
Ste 701
Oakland, CA 94609

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1245497155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 WEBSTER ST STE 1106",
            "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 STE 1106",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093125",
            "telephone_number": "510-763-2662",
            "fax_number": "510-763-2679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL G. CEDARS. M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "PHUNG",
        "authorized_official_first_name": "LIN",
        "authorized_official_title_or_position": "BUS. ADM",
        "authorized_official_telephone_number": "510-331-1887"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "G38306",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "CA",
            "license": "G383060",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.