Active NPI
North Bay Orthopaedic Assoc Inc
- Orthopaedic Surgery Physician
- Benicia, CA
National Provider Identifier
1164585618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G68196
- Legal business name
- NORTH BAY ORTHOPAEDIC ASSOC INC
- Practice address
- 1100 Rose Drive
Suite 230
Benicia, CA 94510-3623 - Phone
- (707) 745-2733
- Fax
- (707) 649-1045
- NPI assigned
- Dec 18, 2006
- 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
- Robert Alan Gomez, MD
- Title
- President
- Phone
- (707) 649-1111
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G68196 | CA | Primary |
Addresses
Primary practice location
1100 Rose Drive
Suite 230
Benicia, CA 94510-3623
Mailing address
1100 Rose Drive
Suite 230
Benicia, CA 94510-3623
Phone (707) 745-2733
National Provider Directory
National Provider DirectoryLocations
1100 Rose Dr
Ste 230
Benicia, CA 94510
Phone (707) 745-2733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166400000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1164585618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 ROSE DRIVE",
"address_2": "SUITE 230",
"city": "BENICIA",
"state": "CA",
"postal_code": "945103623",
"telephone_number": "707-745-2733",
"fax_number": "707-649-1045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 ROSE DRIVE",
"address_2": "SUITE 230",
"city": "BENICIA",
"state": "CA",
"postal_code": "945103623",
"telephone_number": "707-745-2733",
"fax_number": "707-649-1045"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NORTH BAY ORTHOPAEDIC ASSOC INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-18",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GOMEZ",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "707-649-1111",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G68196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Benicia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.