Rex Dale Williams, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

C28180 Issued in CA

Practice address

280 West Macarthur Blvd
Surgery Clinic Room 109
Oakland, CA 94611-5693

Phone

(510) 752-6418

Fax

(510) 752-7839

NPI assigned

Jul 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185321600000",
    "number": "1700076924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 46",
            "city": "LAFAYETTE",
            "state": "CA",
            "postal_code": "945495405",
            "telephone_number": "510-752-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 WEST MACARTHUR BLVD",
            "address_2": "SURGERY CLINIC ROOM 109",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115693",
            "telephone_number": "510-752-6418",
            "fax_number": "510-752-7839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "REX",
        "middle_name": "DALE",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "C28180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mimi Huyen-Tran Williams, MD
• Mitzi L. Williams, DPM
• Patanisha Alia Williams
• Rebecca Lynne Williams, MA
• Rebekka Ann Williams, LMFT
• Richard Williams
• Ronika Williams
• Sandreka Mae Williams, COSMETOLOGIST
• Shania Williams, NREMT
• Shanica Williams

• Surgery Physician in Oakland, CA
• Providers in Oakland, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; 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.