MEDICARE: WILLIAM NORMAN HAMSTRA D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	20A5413	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1306835723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WILLIAM NORMAN HAMSTRA D.O.

Provider Business Mailing Address
First Line	:	2305 CAMINO RAMON
Second Line	:	SUITE 217
City	:	SAN RAMON
State	:	CA
Zip	:	94583-1396
Country	:	US
Telephone Number	:	925-447-0660
Fax Number	:	925-443-7506

Provider Business Practice Location Address
First Line	:	2305 CAMINO RAMON
Second Line	:	SUITE 217
City	:	SAN RAMON
State	:	CA
Zip	:	94583-1396
Country	:	US
Telephone Number	:	925-447-0660
Fax Number	:	925-443-7506

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/18/2005
Last Update Date	:	02/11/2022

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