Organization Active NPI

Associated Surgeons of Hayward

  • Orthopaedic Surgery Physician
  • Castro Valley, CA
National Provider Identifier
1154700169
Registry record updated May 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G61064 Issued in CA
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

Updated by the provider on May 22, 2015

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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

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.

Verify at the official NPI Registry.