NPIMap

Organization Active NPI

Webster Surgery Center, LP

  • Ambulatory Surgical Clinic/Center
  • Oakland, CA
National Provider Identifier
1366485385
Registry record updated Dec 8, 2016
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
80 Grand Ave
Suite 250
Oakland, CA 94612-3725
Phone
(510) 451-1875
NPI assigned
Jun 14, 2006
Last updated
Dec 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2016

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.NPI 1073653150
Title
Owner
Phone
(510) 451-1875

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

80 Grand Ave
Suite 250
Oakland, CA 94612-3725

Mailing address

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

Other names 1

  • Webster Surgery Center Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366485385. Details of each certification follow.

Ambulatory surgical center certification: CCN 05C0001450

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
WEBSTER SURGERY CENTER
Certification status
Active
Provider type (POS)
Ambulatory surgical center
Participating since
Aug 25, 1999
Last certification
Jun 8, 2017
Ownership / control type
Proprietary
Facility address
80 Grand Avenue, #250
Oakland, CA 94612

National Provider Directory

National Provider Directory

Locations

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

80 Grand Ave
Ste 800
Oakland, CA 94612
Phone (510) 238-1200

Ownership & related parties

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481155200000",
    "number": "1366485385",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 GRAND AVE",
            "address_2": "SUITE 250",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123725",
            "telephone_number": "510-451-1875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER SURGERY CENTER, LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2016-12-08",
        "status": "A",
        "authorized_official_last_name": "LAU",
        "authorized_official_first_name": "GLEN",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "OWNER",
        "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": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Webster Surgery Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.