WEBSTER SURGERY CENTER, LP (NPI# 1356888705) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356888705 |
| Entity Type | Organization |
| Organization Name | WEBSTER SURGERY CENTER, LP |
| Other Organization Name | WEBSTER SURGERY CENTER SANTA ROSA |
| Practice Address |
730 Bennett Valley Road Santa Rosa CA 95404 |
| Mailing Address |
80 Grand Ave Suite 250 Oakland CA 94612-3725 |
| Practice Telephone | 7073965225 |
| Practice Fax Number | 7073965257 |
| Mailing Telephone | 5104511875 |
| Mailing Fax Number | 5108399588 |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2017-01-24 |
| Authorized Official Name | DR. GLEN K. LAU (GENERAL PARTNER) |
| Authorized Official Telephone | 5104511875 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | WEBSTER SURGERY CENTER, LP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
CA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Webster Surgery Center Santa Rosa | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821536954 | Webster Surgery Center, Lp | Clinic/Center | 20998 Redwood Dr, Castro Valley, CA 94546 | 2017-02-09 |
| 1750828109 | Webster Surgery Center, Lp | Clinic/Center | 39180 Farwell Drive, Suite 100, Fremont, CA 94538 | 2017-01-24 |
| 1467999813 | Webster Surgery Center, Lp | Clinic/Center | 200 Porter Drive, Suite 100, San Ramon, CA 94583 | 2017-01-24 |
| 1548707995 | Webster Surgery Center, Lp | Clinic/Center | 1700 San Pablo Ave, Suite D, Pinole, CA 94564 | 2017-01-24 |
| 1366485385 | Webster Surgery Center, Lp | Clinic/Center | 80 Grand Ave, Suite 250, Oakland, CA 94612-3725 | 2006-06-14 |
| Street Address |
730 BENNETT VALLEY ROAD |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95404 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205442217 | David Lee Dutton | Counselor | 201 S. E Street, Santa Rosa, CA 95404 | 2020-09-16 |
| 1114492162 | Jesse Earl Rathbun Jr. | Ophthalmology | 1920 Grace Dr., Santa Rosa, CA 95404 | 2018-10-05 |
| 1568958437 | Bianca Avina | Marriage & Family Therapist | 95 Montgomery Dr. #112, Santa Rosa, CA 95404 | 2018-07-03 |
| 1366940504 | New Leaf Counseling and Psychotherapy | Marriage & Family Therapist | 1030 2n Street, Suite B, Santa Rosa, CA 95404 | 2018-01-23 |
| 1659884864 | Jessica Vargas Lopez | Counselor | 3333 Chanate Road, Santa Rosa, CA 95404 | 2017-11-09 |
| 1982135992 | Gaea Keridwyn Coon | Marriage & Family Therapist | 884 Third Street, Suite D, Santa Rosa, CA 95404 | 2017-03-22 |
| 1376084699 | Empire Traditional Chinese Medicine | Acupuncturist | 1030 Second St, Santa Rosa, CA 95404 | 2017-03-20 |
| 1205295979 | Sandra Lee Krikorian | Social Worker | 101 E Street, Suite 312, Santa Rosa, CA 95404 | 2016-02-23 |
| 1396134615 | The Center for Body Oriented Psychotherapy & Wellness | Psychologist | 1626 Fourth Street, Santa Rosa, CA 95404 | 2015-01-12 |
| 1427451855 | Amanda Dunn | Registered Nurse | 1337 Chanate Road Suite 2c, Santa Rosa, CA 95404 | 2014-09-30 |
| Find all providers in zip 95404 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063646594 | Advanced Surgery Institute, LLC | Clinic/Center | 1739 4th St, Santa Rosa, CA 95404-3601 | 2009-05-12 |
| 1215002852 | Santa Rosa Ambulatory Surgical Center Medical Group Inc | Clinic/Center | 76 Brookwood Ave Ste B, Santa Rosa, CA 95404-4312 | 2006-11-21 |
| 1922197987 | Chernoff and Associates Cosmetic Surgeons | Clinic/Center | 830 2nd St, Santa Rosa, CA 95404-4620 | 2006-10-11 |
| 1831200815 | Novamed Surgery Center of Santa Rosa, LLC | Clinic/Center | 1720 4th St, Santa Rosa, CA 95404-3602 | 2006-08-31 |
| 1457317398 | Santa Rosa Surgery Center Lp | Clinic/Center | 34 Mark West Springs Rd Suite 100, Santa Rosa Surgery and Endoscopy Center, Santa Rosa, CA 95403-1436 | 2006-04-20 |
| 1811242563 | Sutter West Bay Medical Foundation | Clinic/Center | 1200 Sonoma Ave, Ste 2, Santa Rosa, CA 95405-6664 | 2012-07-18 |
| 1386966935 | Norcal Specialty Surgery Center, LLC | Clinic/Center | 730 Bennett Valley Rd, Santa Rosa, CA 95404-5514 | 2010-02-24 |
| 1295878874 | The Surgery Suite | Clinic/Center | 4625 Quigg Dr, Santa Rosa, CA 95409-5377 | 2007-02-14 |
| 1538201587 | Plastic Surgery Associates | Clinic/Center | 4625 Quigg Dr, Santa Rosa, CA 95409-5377 | 2007-02-13 |
| 1639220189 | North Bay Medical Group Surgery Center | Clinic/Center | 4415 Sonoma Hwy, Suite B, Santa Rosa, CA 95409-7100 | 2007-01-12 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95404 |
Please comment or provide details below to improve the information on WEBSTER SURGERY CENTER, LP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.