Webster Medical Clinic

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G46057 Issued in CA

Legal business name

WEBSTER MEDICAL CLINIC

Practice address

13847 E 14TH St Ste 106
San Leandro, CA 94578-2625

Phone

(510) 922-8611

Fax

(510) 338-3677

NPI assigned

Aug 7, 2015

Organization subpart

No

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

Authorized official

Name

Eugene McMillan, M.DNPI 1093822744

Title

Doctor

Phone

(510) 922-8611

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Eugene McMillan, M.D.

  • Internal Medicine Physician
  • Oakland, CA
  • NPI 1093822744
  Medicare reassignment Care Compare group Authorized official
• Floyd Huen, M.D.

  • Internal Medicine Physician
  • Berkeley, CA
  • NPI 1528135217
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703116800000",
    "number": "1801272224",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13847 E 14TH ST STE 106",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782625",
            "telephone_number": "510-922-8611",
            "fax_number": "510-338-3677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13847 E 14TH ST STE 106",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945782625",
            "telephone_number": "510-922-8611",
            "fax_number": "510-338-3677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEBSTER MEDICAL CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-07",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A",
        "authorized_official_last_name": "MCMILLAN",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "510-922-8611",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G46057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joycelyn Ocampo Watson, RCP, RT
• Marshea Darlene Watson, D.C.
• Kimberly Jenel Wayne
• Christina L Weahunt, RD CDE
• Robert Weaver
• Natalie Webster
• Charlene Wedderburn
• David Dazon Wei, M.D.
• Katherine Weikel
• Stephen Leo Weiner

• Internal Medicine Physician in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.