Active NPI
Michael G. Cedars. M.D. Inc.
- Health Service Clinic/Center
- Oakland, CA
National Provider Identifier
1245497155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- License
- G38306
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.
-
- Plastic Surgery Physician
- Oakland, CA
- NPI 1205821402
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.