Individual provider Active NPI

Andrew Sydney Williams, M.D.

  • Ophthalmology Physician
  • San Mateo, CA
National Provider Identifier
1528075389
Registry record updated Mar 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G56863 Issued in CA
Practice address
101 S San Mateo Dr
Ste 306
San Mateo, CA 94401-3844
Phone
(650) 696-7070
Fax
(650) 348-1314
NPI assigned
Aug 2, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G56863 CA Primary

Addresses

Primary practice location

101 S San Mateo Dr
Ste 306
San Mateo, CA 94401-3844

Mailing address

101 S San Mateo Dr
Ste 306
San Mateo, CA 94401-3844
Phone (415) 431-9555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040909000359 CA Practitioner - Ophthalmology 9739155870 Reassigns benefits to 4 organizations
Receives reassigned benefits from 1 practitioner
Practice locations: San Mateo, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
University of California SFGH Medical Group Ophthalmology CurrentSince Jun 1, 2008 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California San Francisco Current Accepting new patients
UCSF Medical Group Business Services Ophthalmology CurrentSince Mar 2, 2019 Accepting new patients
University of California SFGH Medical Group CurrentSince Jun 1, 2008 Accepting new patients
University of California San Francisco CurrentSince Aug 25, 2018 Accepting new patients
UCSF Medical Group Business Services CurrentSince Mar 2, 2019 Accepting new patients
A Sydney Williams and Associates Inc Ophthalmology CurrentSince Oct 1, 2018 Accepting new patients
University of California San Francisco CurrentSince Aug 25, 2018 Accepting new patients

Locations

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

1001 Potrero Ave
Rm 3A
San Francisco, CA 94110
Phone (415) 206-4632

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

101 S San Mateo Dr
Ste 306
San Mateo, CA 94401
Phone (415) 972-4600

300 Pasteur Dr
#A200
Stanford, CA 94305
Phone (650) 326-5787

Interoperability endpoints

  • Direct secure messaging: awilliams60320@hisp.ehr.sutterhealth.org

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551916800000",
    "number": "1528075389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR",
            "address_2": "STE 306",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013844",
            "telephone_number": "415-431-9555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S SAN MATEO DR",
            "address_2": "STE 306",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013844",
            "telephone_number": "650-696-7070",
            "fax_number": "650-348-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "ANDREW",
        "middle_name": "SYDNEY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2019-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G56863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Mateo, CA

Sources for this page

Verify at the official NPI Registry.