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CALIFORNIA SPORTS AND ORTHOPAEDIC NPI 1619482387


NPI Information

NPI: 1619482387
Provider Name: CALIFORNIA SPORTS AND ORTHOPAEDIC
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 05D2260677

Address:
350 30TH ST STE 530
OAKLAND, CA
ZIP 94609
Phone: (510) 422-5150
Get Directions

CALIFORNIA SPORTS AND ORTHOPAEDIC is an orthopaedic surgery in Oakland, CA. The provider is an orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. CALIFORNIA SPORTS AND ORTHOPAEDIC NPI is 1619482387. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

350 30TH ST STE 530
OAKLAND, CA
ZIP 94609-426
Phone: (510) 422-5150
Fax: (510) 422-5149

The provider's authorized official is Jim Pavetto .
The authorized official title is Administrator and has the following contact phone number (510) 704-7760.

The CLIA number assigned to this NPI record is 05D2260677 - other - government employment with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/4/2017 and was last updated on 4/23/2018.


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
1207X00000XOrthopaedic SurgeryYes

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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