Organization Active NPI

North Bay Orthopaedic Assoc Inc

  • Orthopaedic Surgery Physician
  • Benicia, CA
National Provider Identifier
1164585618
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G68196 Issued in CA
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

Updated by the provider on Aug 22, 2020

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

Locations

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.

Verify at the official NPI Registry.