Active NPI
Webster Outpatient Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- San Ramon, CA
National Provider Identifier
1467999813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- WEBSTER OUTPATIENT SURGERY CENTER, LLC
- Practice address
- 200 Porter Drive
Suite 100
San Ramon, CA 94583 - Phone
- (925) 600-1900
- Fax
- (925) 474-9794
- NPI assigned
- Jan 24, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eric Boon
- Title
- Officer/Authorized Official
- Phone
- (480) 567-0269
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | CA | Primary |
Addresses
Primary practice location
200 Porter Drive
Suite 100
San Ramon, CA 94583
Mailing address
200 Porter Dr Ste 100
San Ramon, CA 94583-1524
Phone (925) 600-1900
Other names 1
- Webster Outpatient Surgery Center
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210915000580 | CA | Part B Supplier - Ambulatory Surgical Center | 6709282841 | Practice locations: San Ramon, CA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Webster Surgery Center
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2098127 | Webster Outpatient Surgery Center | Certificate of waiver | Jun 29, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
Locations
3300 Webster St
Ste 1010
Oakland, CA 94609
Phone (510) 451-1875
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Plastic Surgery Physician
- Oakland, CA
- NPI 1073653150
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": "1774224000000",
"number": "1467999813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 PORTER DR STE 100",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "945831524",
"telephone_number": "925-600-1900",
"fax_number": "925-600-1908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 PORTER DRIVE",
"address_2": "SUITE 100",
"city": "SAN RAMON",
"state": "CA",
"postal_code": "94583",
"telephone_number": "925-600-1900",
"fax_number": "925-474-9794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WEBSTER OUTPATIENT SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-24",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A",
"authorized_official_last_name": "BOON",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "OFFICER/AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "480-567-0269"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "100 N 6th St Ste 900A",
"city": "Minneapolis",
"state": "MN",
"country_code": "US",
"postal_code": "554031516",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Webster Outpatient Surgery Center",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Webster Outpatient Surgery Center",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Ramon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.