NPIMap

Organization Active NPI

Webster Surgery Center, LP

  • Ambulatory Surgical Clinic/Center
  • Santa Rosa, CA
National Provider Identifier
1356888705
Registry record updated Jan 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
WEBSTER SURGERY CENTER, LP
Practice address
730 Bennett Valley Road
Santa Rosa, CA 95404
Phone
(707) 396-5225
Fax
(707) 396-5257
NPI assigned
Jan 24, 2017
Organization subpart
Yes
Parent organization
WEBSTER SURGERY CENTER, LPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 24, 2017

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

Authorized official

Name
Dr. Glen K. Lau, M.D.
Title
General Partner
Phone
(510) 451-1875

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X CA Primary

Addresses

Primary practice location

730 Bennett Valley Road
Santa Rosa, CA 95404

Mailing address

80 Grand Ave
Suite 250
Oakland, CA 94612-3725
Phone (510) 451-1875

Other names 1

  • Webster Surgery Center Santa Rosa Other name

National Provider Directory

National Provider Directory
Tax ID family
Webster Surgery Center LP4 organizations share this tax ID, including this one
Part of
Webster Surgery Center LP

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

80 Grand Ave
Ste 250
Oakland, CA 94612
Phone (510) 451-1875

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1485216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485216000000",
    "number": "1356888705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 GRAND AVE",
            "address_2": "SUITE 250",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123725",
            "telephone_number": "510-451-1875",
            "fax_number": "510-839-9588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "730 BENNETT VALLEY ROAD",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "95404",
            "telephone_number": "707-396-5225",
            "fax_number": "707-396-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER SURGERY CENTER, LP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEBSTER SURGERY CENTER, LP",
        "enumeration_date": "2017-01-24",
        "last_updated": "2017-01-24",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "GENERAL PARTNER",
        "authorized_official_telephone_number": "510-451-1875",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Webster Surgery Center Santa Rosa",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.