Active NPI
Associated Surgeons of Hayward
- Orthopaedic Surgery Physician
- Castro Valley, CA
National Provider Identifier
1154700169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G61064
- Legal business name
- ASSOCIATED SURGEONS OF HAYWARD
- Practice address
- 19842 Lake Chabot Rd
Castro Valley, CA 94546-4002 - Phone
- (510) 886-8844
- NPI assigned
- May 22, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregg Thomas Pottorff, DO
- Title
- Ceo
- Phone
- (510) 886-8844
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G61064 | CA | Primary |
Addresses
Primary practice location
19842 Lake Chabot Rd
Castro Valley, CA 94546-4002
Mailing address
175 N Redwood Dr
Suite 275
San Rafael, CA 94903-1972
Phone (415) 331-8390
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432252800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1432252800000",
"number": "1154700169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "175 N REDWOOD DR",
"address_2": "SUITE 275",
"city": "SAN RAFAEL",
"state": "CA",
"postal_code": "949031972",
"telephone_number": "415-331-8390",
"fax_number": "415-331-8380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19842 LAKE CHABOT RD",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945464002",
"telephone_number": "510-886-8844"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ASSOCIATED SURGEONS OF HAYWARD",
"organizational_subpart": "NO",
"enumeration_date": "2015-05-22",
"last_updated": "2015-05-22",
"status": "A",
"authorized_official_last_name": "POTTORFF",
"authorized_official_first_name": "GREGG",
"authorized_official_middle_name": "THOMAS",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "510-886-8844",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G61064",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Castro Valley, CA
- Giselle Guadalupe Arreola Nunez
- Ascend Physical Therapy and Pilates Wellness PC
- Sandhya Ashokkumar, MD
- Asram Living LLC
- Associated Orthopaedic Surgeons of Hayward
- Associatedurology Medical Group,Inc.
- Assure Home Health LLC
- Kenneth James Athey, MS MFT
- Laurence Athos, M.D.
- Christina Nalini Atkinson, O.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.