Organization Active NPI

Bay Area Colon & Rectal Surgeons

  • Surgery Physician
  • Walnut Creek, CA
National Provider Identifier
1306985932
Registry record updated Feb 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
BAY AREA COLON & RECTAL SURGEONS
Practice address
365 Lennon LN
Suite 290
Walnut Creek, CA 94598-5910
Phone
(925) 274-9000
Fax
(925) 274-9004
NPI assigned
Feb 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2008

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

Authorized official

Name
Dr. Samuel C Oommen, M.D.
Title
President
Phone
(925) 274-9000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

365 Lennon LN
Suite 290
Walnut Creek, CA 94598-5910

Mailing address

365 Lennon LN
Suite 290
Walnut Creek, CA 94598-5910
Phone (925) 274-9000

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203984000000",
    "number": "1306985932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 LENNON LN",
            "address_2": "SUITE 290",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985910",
            "telephone_number": "925-274-9000",
            "fax_number": "925-274-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 LENNON LN",
            "address_2": "SUITE 290",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945985910",
            "telephone_number": "925-274-9000",
            "fax_number": "925-274-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAY AREA COLON & RECTAL SURGEONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-06",
        "last_updated": "2008-02-26",
        "status": "A",
        "authorized_official_last_name": "OOMMEN",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "925-274-9000",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2008; 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.