Active NPI
Norcal Pediatric Surgical Partners
- Pediatric Surgery Physician
- Orinda, CA
National Provider Identifier
1629560149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Surgery Physician
- License
- A62576
- Legal business name
- NORCAL PEDIATRIC SURGICAL PARTNERS
- Practice address
- 21C Orinda Way # 276
Orinda, CA 94563-2534 - Phone
- (510) 862-1862
- NPI assigned
- May 31, 2018
- Last updated
- May 31, 2018
- 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
- Dr. Thomas Hui, MD
- Title
- Partner
- Phone
- (510) 862-1862
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Surgery Physician | 2086S0120X | A62576 | CA | Primary |
| Pediatric Surgery Physician | 2086S0120X | A676570 | CA |
Addresses
Primary practice location
21C Orinda Way # 276
Orinda, CA 94563-2534
Mailing address
21C Orinda Way # 276
Orinda, CA 94563-2534
Phone (510) 862-1862
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A62576 | Medicaid | CA | |
| A676570 | Medicaid | CA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527724800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1527724800000",
"number": "1629560149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21C ORINDA WAY # 276",
"city": "ORINDA",
"state": "CA",
"postal_code": "945632534",
"telephone_number": "510-862-1862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21C ORINDA WAY # 276",
"city": "ORINDA",
"state": "CA",
"postal_code": "945632534",
"telephone_number": "510-862-1862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORCAL PEDIATRIC SURGICAL PARTNERS",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-31",
"last_updated": "2018-05-31",
"status": "A",
"authorized_official_last_name": "HUI",
"authorized_official_first_name": "THOMAS",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "510-862-1862",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2086S0120X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Pediatric Surgery",
"state": "CA",
"license": "A62576",
"primary": true
},
{
"code": "2086S0120X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Surgery, Pediatric Surgery",
"state": "CA",
"license": "A676570",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A62576",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A676570",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orinda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.