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GOLDEN STATE ORTHOPEDICS & SPINE NPI 1912252024


NPI Information

NPI: 1912252024
Provider Name: GOLDEN STATE ORTHOPEDICS & SPINE
Classification: Orthopaedic Surgery - 207X00000X
Entity Type: Organization

CLIA Number: 05D2187186

Address:
350 JOHN MUIR PKWY STE 100
BRENTWOOD, CA
ZIP 94513
Phone: (925) 939-8585
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GOLDEN STATE ORTHOPEDICS & SPINE is an orthopaedic surgery in Brentwood, 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. GOLDEN STATE ORTHOPEDICS & SPINE NPI is 1912252024. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

350 JOHN MUIR PKWY STE 100
BRENTWOOD, CA
ZIP 94513-184
Phone: (925) 939-8585
Fax: (925) 933-2709

The provider's authorized official is Stephen Hammarstrom .
The authorized official title is C.e.o. and has the following contact phone number (925) 939-8585.

The CLIA number assigned to this NPI record is 05D2187186 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 7/16/2012 and was last updated on 12/19/2023.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16461930003OTHERDME SUPPLIER PTAN

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: 5/5/2024

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