Organization Active NPI

Norcal Pediatric Surgical Partners

  • Pediatric Surgery Physician
  • Orinda, CA
National Provider Identifier
1629560149
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
A62576 Issued in CA
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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)CodeLicenseStatePrimary
Pediatric Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2086S0120X A62576 CA Primary
Pediatric Surgery PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
A62576MedicaidCA
A676570MedicaidCA

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.