# WEBSTER ORTHOPAEDIC MEDICA GROUP, A PROFESSIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Webster Orthopedics
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932406519
- **Authorized official:** DR. JOHN THEODORE SCHWARTZ JR. MD (MD)
- **Authorized official phone:** (925) 362-2166

## Contact information

- **Practice address:** 3300 WEBSTER ST STE 1201, OAKLAND, CA 94609-3126
- **Practice address phone:** (510) 486-2300
- **Practice address fax:** (510) 486-2333
- **Mailing address:** 200 PORTER DR, SUITE 215, SAN RAMON, CA 94583-1587
- **Mailing address phone:** (925) 362-2166
- **Mailing address fax:** (855) 574-3055

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/17/2011
- **Last updated:** 04/24/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | ZZZ45498Z | MEDICARE PTAN | CA |
