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WEBSTER OUTPATIENT SURGERY CENTER LLC NPI 1467999813


NPI Information

NPI: 1467999813
Provider Name: WEBSTER OUTPATIENT SURGERY CENTER, LLC

Other Name: WEBSTER OUTPATIENT SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D2098127

Address:
200 PORTER DRIVE
SUITE 100
SAN RAMON, CA
ZIP 94583
Phone: (925) 600-1900
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WEBSTER OUTPATIENT SURGERY CENTER, LLC is an ambulatory surgical clinic center in San Ramon, CA. WEBSTER OUTPATIENT SURGERY CENTER, LLC NPI is 1467999813. The provider is registered as an organization entity type.
The provider Other Name Is Webster Outpatient Surgery Center.

The provider's business location address is:

200 PORTER DRIVE
SUITE 100
SAN RAMON, CA
ZIP 94583
Phone: (925) 600-1900
Fax: (925) 474-9794

The provider's authorized official is Eric Boon .
The authorized official title is Officer/authorized Official and has the following contact phone number (480) 567-0269.

The CLIA number assigned to this NPI record is 05D2098127 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/24/2017 and was last updated on 11/14/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory SurgicalCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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