NPIMap

Organization Active NPI

North Bay Orthopaedic Associates Inc

  • Orthopaedic Surgery Physician
  • Vallejo, CA
National Provider Identifier
1295745271
Registry record updated Oct 29, 2018
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 ASSOCIATES INC
Practice address
1460 North Camino Alto
Suite 210
Vallejo, CA 94589-2567
Phone
(707) 649-1111
Fax
(707) 649-1045
NPI assigned
Aug 9, 2006
Last updated
Oct 29, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Authorized official

Name
Robert Alan Gomez, MDNPI 1033129028
Title
President
Phone
(707) 649-1111

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)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X G68196 CA Primary

Addresses

Primary practice location

1460 North Camino Alto
Suite 210
Vallejo, CA 94589-2567

Mailing address

P.O. Box 1483
Alamo
Ca, CA 94507
Phone (707) 649-1111

National Provider Directory

National Provider Directory

Locations

1460 N Camino Alto
Ste 210
Vallejo, CA 94589
Phone (707) 552-6633

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1155081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1295745271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 1483",
            "address_2": "ALAMO",
            "city": "CA",
            "state": "CA",
            "postal_code": "94507",
            "telephone_number": "707-649-1111",
            "fax_number": "707-649-1045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1460 NORTH CAMINO ALTO",
            "address_2": "SUITE 210",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "945892567",
            "telephone_number": "707-649-1111",
            "fax_number": "707-649-1045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH BAY ORTHOPAEDIC ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-09",
        "last_updated": "2018-10-29",
        "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": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G68196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vallejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.