Organization Active NPI

Webster Orthopaedic Medical Group, a Professional Corporation

  • Orthopaedic Surgery Physician
  • Oakland, CA
National Provider Identifier
1316914385
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
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 CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
ZZZ45498ZMedicaidCA

Other names 1

  • Webster Orthopedics Doing business as

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.

Verify at the official NPI Registry.