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RICHARD R. TAVERNETTI M.D. INC NPI 1215083035


NPI Information

NPI: 1215083035
Provider Name: RICHARD R. TAVERNETTI, M.D., INC
Classification: Orthopaedic Surgery - 207XS0114X
Entity Type: Organization

Specialization: Adult Reconstructive Orthopaedic Surgery

Address:
2100 WEBSTER ST
SUITE 115
SAN FRANCISCO, CA
ZIP 94115
Phone: (415) 923-3033
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RICHARD R. TAVERNETTI, M.D., INC is an adult reconstructive orthopaedic surgery orthopaedic surgery in San Francisco, CA. The provider is recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, adult reconstructive orthopaedic surgeons deal with reconstructive procedures such as joint arthroplasty (i.e., hip and knee), osteotomy, arthroscopy, soft-tissue reconstruction, and a variety of other adult reconstructive surgical procedures. RICHARD R. TAVERNETTI, M.D., INC NPI is 1215083035. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2100 WEBSTER ST
SUITE 115
SAN FRANCISCO, CA
ZIP 94115-373
Phone: (415) 923-3033
Fax: (415) 923-3083

The provider's authorized official is Richard Roland Tavernetti .
The authorized official title is Owner and has the following contact phone number (415) 923-3033.

The enumeration date for this NPI number is 1/26/2007 and was last updated on 4/9/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207XS0114XOrthopaedic SurgeryAdult Reconstructive Orthopaedic SurgeryA23135CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11558452151OTHERCALIFORNIANPI FOR INDIVIDUAL
2A23404MEDICARE UPINCALIFORNIA
300A231350MEDICAIDCALIFORNIA
4ZZZ28105ZMEDICARE PINCALIFORNIA
5P00064486MEDICARE PINCALIFORNIA
600A231350OTHERCALIFORNIAPRIVATE HEALTH INS CARRIE

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: 4/28/2024

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