Active NPI
Webster Orthopaedic Medical Group, a Professional Corporation
- Orthopaedic Surgery Physician
- Oakland, CA
National Provider Identifier
1316914385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- WEBSTER ORTHOPAEDIC MEDICAL GROUP, A PROFESSIONAL CORPORATION
- Practice address
- 3315 Broadway
Oakland, CA 94611-5717 - Phone
- (510) 486-2300
- Fax
- (510) 486-2333
- NPI assigned
- Mar 8, 2006
- Organization subpart
- Yes
- Parent organization
- WEBSTER ORTHOPAEDIC MEDICAL GROUP, A PROFESSIONAL CORPORATION
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. John T. Schwartz, M.D.
- Title
- President
- Phone
- (925) 362-2116
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | CA | Primary |
Addresses
Primary practice location
3315 Broadway
Oakland, CA 94611-5717
Mailing address
200 Porter Dr
Suite 215
San Ramon, CA 94583-1587
Phone (925) 362-2166
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ45498Z | Medicaid | CA |
Other names 1
- Webster Orthopedics
National Provider Directory
National Provider Directory- Part of
- Webster Orthopaedic Med
Locations
3300 Webster St
Ste 1200
Oakland, CA 94609
Phone (510) 238-1200
5720 Stoneridge Mall Rd
Ste 330
Pleasanton, CA 94588
Phone (925) 225-1234
5801 Norris Canyon Rd
Ste 210
San Ramon, CA 94583
Phone (925) 355-7350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1524528000000",
"number": "1316914385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 PORTER DR",
"address_2": "SUITE 215",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945831587",
"telephone_number": "925-362-2166",
"fax_number": "855-574-3055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3315 BROADWAY",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946115717",
"telephone_number": "510-486-2300",
"fax_number": "510-486-2333"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEBSTER ORTHOPAEDIC MEDICAL GROUP, A PROFESSIONAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WEBSTER ORTHOPAEDIC MEDICAL GROUP, A PROFESSIONAL CORPORATION",
"enumeration_date": "2006-03-08",
"last_updated": "2018-04-24",
"status": "A",
"authorized_official_last_name": "SCHWARTZ",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "T.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "925-362-2116",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ45498Z",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Webster Orthopedics",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Apr 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.