Individual provider Active NPI

Gregory Horner, M.D.

  • Orthopaedic Hand Surgery Physician
  • Pleasanton, CA
National Provider Identifier
1295730331
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
A54276 Issued in CA
Practice address
4626 Willow Rd
Suite 200
Pleasanton, CA 94588-8517
Phone
(925) 463-0470
Fax
(925) 463-0473
NPI assigned
Jun 16, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X A54276 CA Primary

Addresses

Primary practice location

4626 Willow Rd
Suite 200
Pleasanton, CA 94588-8517

Mailing address

4626 Willow Rd
Suite 200
Pleasanton, CA 94588-8517
Phone (925) 463-0470

Other identifiers 1

IdentifierTypeStateIssuer
200039899OtherCAMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A54276CAMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Valley Orthopedic and Sports Medical Group Inc Hand Surgery CurrentSince Nov 1, 2007 Accepting new patients
Tri-Valley Orthopedic and Sports Medical Group Inc Hand Surgery CurrentSince Nov 1, 2007 Accepting new patients
Tracy Surgery Center, LLC PastSince Oct 8, 2012 Accepting new patients
Sutter Tracy Community Hospital Past Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients
San Ramon Regional Medical Center, LLC Past Accepting new patients

Locations

87 Fenton St
Ste 105
Livermore, CA 94550
Phone (925) 373-9182

4626 Willow Rd
Ste 200
Pleasanton, CA 94588
Phone (925) 463-0470

5565 W Las Positas Blvd
Ste 320
Pleasanton, CA 94588
Phone (925) 460-0454

5601 Norris Canyon Rd
Ste 130
San Ramon, CA 94583
Phone (925) 463-0470

2180 W Grant Line Rd
Ste 100
Tracy, CA 95377
Phone (925) 463-0470

Interoperability endpoints

  • Direct secure messaging: gregory.horner.1@25176.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1295730331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 WILLOW RD",
            "address_2": "SUITE 200",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888517",
            "telephone_number": "925-463-0470",
            "fax_number": "925-463-0473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 WILLOW RD",
            "address_2": "SUITE 200",
            "city": "PLEASANTON",
            "state": "CA",
            "postal_code": "945888517",
            "telephone_number": "925-463-0470",
            "fax_number": "925-463-0473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORNER",
        "first_name": "GREGORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "A54276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "200039899",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, CA

Sources for this page

Verify at the official NPI Registry.