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
- Last updated
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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 DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Castro Valley, CA
- NPI 1477520096
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
- Giselle Guadalupe Arreola Nunez
- Ascend Physical Therapy and Pilates Wellness PC
- Sandhya Ashokkumar, MD
- Asram Living LLC (Willow Creek Memory Care)
- 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.