WEBSTER ORTHOPAEDIC MEDICAL GROUP, A PROFESSIONAL CORP. (NPI# 1982883898) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982883898 |
| Entity Type | Organization |
| Organization Name | WEBSTER ORTHOPAEDIC MEDICAL GROUP, A PROFESSIONAL CORP. |
| Other Organization Name | WEBSTER ORTHOPAEDIC MEDICAL GROUP |
| Practice Address |
4000 Dublin Blvd Suite 100 Dublin CA 94568-3113 |
| Mailing Address |
200 Porter Dr Suite 215 San Ramon CA 94583-1587 |
| Practice Telephone | 9255567320 |
| Practice Fax Number | 9254790231 |
| Mailing Telephone | 9253622166 |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2017-01-16 |
| Authorized Official Name | DR. JOHN THEODORE SCHWARTZ (PRESIDENT) |
| Authorized Official Telephone | 9253622166 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | WEBSTER ORTHOPAEDIC MEDICAL GROUP, A PROFESSIONAL CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Webster Orthopaedic Medical Group | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871663021 | Webster Orthopaedic Medical Group, A Professional Corp. | Orthopaedic Surgery | 200 Porter Dr, Suite 101, San Ramon, CA 94583-1587 | 2006-11-08 |
| Street Address |
4000 DUBLIN BLVD SUITE 100 |
| City | DUBLIN |
| State | CA |
| Zip Code | 94568-3113 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669459566 | Raafat K Zamary | Internal Medicine | 4000 Dublin Blvd, Dublin, CA 94568-3113 | 2005-12-30 |
| 1316590854 | Sharone Moverman | Physician Assistant | 4000 Dublin Blvd, Dublin, CA 94568-3113 | 2019-07-23 |
| 1487164174 | Amy Joy Renaud | Physical Therapist | 4000 Dublin Blvd, Dublin, CA 94568-3113 | 2017-10-06 |
| 1902355753 | Samantha Camuso | Physician Assistant | 4000 Dublin Blvd, Suite 100, Dublin, CA 94568-3113 | 2016-09-21 |
| 1487107298 | Stephen Powers | Physician Assistant | 4000 Dublin Blvd, 100, Dublin, CA 94568-3113 | 2016-07-27 |
| 1548612989 | Jonghee Shin | Registered Nurse | 4000 Dublin Blvd, Dublin, CA 94568 | 2016-07-11 |
| 1497107890 | Lisa Biga | Nurse Practitioner | 4000 Dublin Blvd, Dublin, CA 94568-3113 | 2016-07-08 |
| 1285084772 | Sonja Bauer | Physical Therapist | 4000 Dublin Blvd, Dublin, CA 94568-3113 | 2016-06-15 |
| 1295122398 | Christina Danial | Dermatology | 4000 Dublin Blvd, Dublin, CA 94568 | 2015-04-16 |
| 1225380819 | Patricia Torres | Occupational Therapist | 4000 Dublin Blvd, Suite 100, Dublin, CA 94568-3113 | 2012-10-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184242224 | Lisa Marie Casey | Case Manager/Care Coordinator | 5149 Gleason Dr. Dublin, Ca 94568, Dublin, CA 94568 | 2020-07-06 |
| 1669029187 | Orlando Jesus Olivera | Behavior Technician | 7567 Amador Valley Blvd Suite 109, Dublin, CA 94568 | 2019-08-20 |
| 1225682867 | Tiana K St Jean | Behavior Technician | 4228 Loyalton Rd, Dublin, CA 94568 | 2019-08-01 |
| 1205398005 | Shawna Marie Green | Behavior Technician | 7565 Amador Valley Blvd, 109, Dublin, CA 94568 | 2019-04-02 |
| 1235613779 | Zachery Joseph Lupton | Assistant Behavior Analyst | 5601 Arnold Rd. Suite 102, Dublin, CA 94568 | 2018-09-20 |
| 1235629361 | Anthony John E. Castanares | Optometrist | 7763 Squirrel Creek Cir, Dublin, CA 94568 | 2018-05-15 |
| 1134637697 | Justin Yun | Physical Therapist | 3100 Dublin Medical Offices, Dublin, CA 94568 | 2018-01-18 |
| 1558880062 | Yanxia Li | Nurse Practitioner | 3198 Madden Way, Dublin, CA 94568 | 2017-09-15 |
| 1619407368 | Lzl Health Center | Acupuncturist | 7241 Regional St, Dublin, CA 94568 | 2017-06-15 |
| 1578010120 | Yang Yang | Technician, Other | 5501 Demarcus Blvd, Apt 413, Dublin, CA 94568 | 2016-09-01 |
| Find all providers in zip 94568 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790341618 | Casey S Revenko | Orthopaedic Surgery | 2999 Regent St Ste 225, Berkeley, CA 94705-2117 | 2019-05-15 |
| 1225504301 | Amgad Alfred | Orthopaedic Surgery | 18145 Us Highway 18 Ste D, Apple Valley, CA 92307-2210 | 2018-10-16 |
| 1386136430 | Valley River Orthopedics and Sports Medicine | Orthopaedic Surgery | Valley River Orthopedics & Sports Medicine Inc, 3329 G St Ste A, Merced, CA 95340 | 2018-06-05 |
| 1073026696 | Optimal Physician Surgical Group | Orthopaedic Surgery | 25067 Jim Bridger Rd, Hidden Hills, CA 91302-1128 | 2017-11-06 |
| 1336669456 | Beach Cities Orthopedics Surgery Center, LLC | Orthopaedic Surgery | 400 S Sepulveda Blvd Ste 110, Manhattan Beach, CA 90266-6814 | 2017-06-20 |
| 1750818860 | Health Link Medical Group Inc | Orthopaedic Surgery | 899 Northgate Dr Ste 400, San Rafael, CA 94903-3667 | 2017-05-19 |
| 1962861476 | Mehta Orthopedics | Orthopaedic Surgery | 32145 Alvarado Niles Rd Ste 209, Union City, CA 94587-2930 | 2016-02-12 |
| 1649646282 | Bay Area Surgical Specialists, Inc. A Medical Corporation | Orthopaedic Surgery | 5924 Stoneridge Dr Ste 202, Pleasanton, CA 94588-5400 | 2015-08-18 |
| 1114346111 | Sean Robinson | Orthopaedic Surgery | 7551 Timberlake Way Ste 200, Sacramento, CA 95823-5422 | 2014-04-08 |
| 1851717938 | William R Campbell Do Prof Corp | Orthopaedic Surgery | 1 Daniel Burnham Ct Ste 365c, San Francisco, CA 94109-5490 | 2014-03-12 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on WEBSTER ORTHOPAEDIC MEDICAL GROUP, A PROFESSIONAL CORP..
| 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.