New Millennium Laparoscopy, P.C.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

G88950 Issued in CA

Legal business name

NEW MILLENNIUM LAPAROSCOPY, P.C.

Practice address

237 Estudillo Ave
#209
San Leandro, CA 94577-4725

Phone

(510) 926-6521

NPI assigned

Dec 5, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Alfred B. Johnson, M.D.

Title

Owner

Phone

(510) 926-6521

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1354665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354665600000",
    "number": "1669717450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3984 WASHINGTON BLVD",
            "address_2": "#344",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945384954",
            "telephone_number": "510-926-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 ESTUDILLO AVE",
            "address_2": "#209",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945774725",
            "telephone_number": "510-926-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW MILLENNIUM LAPAROSCOPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-05",
        "last_updated": "2012-12-05",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ALFRED",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-926-6521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G88950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Surgery Physician in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2012; 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.